Journeycare Medical, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

JOURNEYCARE MEDICAL, LLC

Practice address

350 W Woodrow Wilson Ave Ste 1010
Jackson, MS 39213-7681

Phone

(601) 376-8019

NPI assigned

Apr 1, 2026

Last updated

Apr 22, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shantrice Bernice Nichols-Bates, DNP-CNPI 1245603844

Title

Ceo/Medical Director

Phone

(769) 366-2659

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shantrice Bernice Nichols-Bates, DNP, FNP-C

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1245603844
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1245170885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123A HIGHWAY 80 E",
            "address_2": "PMB# 140",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564738",
            "telephone_number": "769-366-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE STE 1010",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137681",
            "telephone_number": "601-376-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYCARE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS-BATES",
        "authorized_official_first_name": "SHANTRICE",
        "authorized_official_middle_name": "BERNICE",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "769-366-2659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Jordan, MA, LPC
• Leslie Allen Jordan, CRNA
• Nancy L Jordan, FNP
• David Josey Jr., M.D.
• Journey Counseling Services, LLC
• Joyce D Wade Pulmonary & Sleep Specialist
• Pam Joyner, OT
• Jpa Pathology, P.a.
• Julie Wyatt Dermatology Clinic, PLLC
• Kali Marie Juracek, MD

• Primary Care Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Primary Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.