Jamie Agent, NP-C
Individual provider Active NPI Family Nurse Practitioner · Meridian, MS
NPI 1245889807 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1245889807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 903265 (MS)
- Practice address
- 2124 14TH St
Meridian, MS 39301-4040 - Phone
- (601) 553-6000
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neshoba County General Hospital
Hometown Urgent Care and Family Medicine
Practice addresses (Care Compare)
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 663-1200
209 Main St
Union, MS 39365-2521
Phone (601) 504-3424
Hospital & facility affiliations
- Neshoba County General Hospital
- Neshoba County General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201221000647 | MS | Practitioner - Nurse Practitioner | 9133531924 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903265 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neshoba County General Hospital | Current | Accepting new patients | |
| Neshoba County General Hospital | Current |
Accepting new patients | |
| Neshoba County General Hospital | Current |
Accepting new patients | |
| Hometown Urgent Care and Family Medicine | Current |
Accepting new patients |
Locations
1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200
209 Main St
Union, MS 39365
Phone (601) 504-3424
Interoperability endpoints
- jamieagent@neshobahealth.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 903265 | MS | Yes |
Addresses
Primary practice location
2124 14TH St
Meridian, MS 39301-4040
Mailing address
819 Highway 19 N
Collinsville, MS 39325-9614
Phone (601) 504-5025
Other providers in Meridian, MS
- Onaola Adedeji
- Courtney T Adkins
- Advanced Medical Supply LLC
- Aegis Group Practice LLC
- After Hours Dental Clinic, II
- Razee Ameir Ahmad
- Sohail Ahmed
- Patrick Ajiboye
- Aldersgate Personal Care Inc.
- Laura E Alexander
All providers in Meridian, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.