Individual provider Active NPI

Jamie Agent, NP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1245889807
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903265 Issued in MS
Practice address
2124 14TH St
Meridian, MS 39301-4040
Phone
(601) 553-6000
NPI assigned
Sep 6, 2019
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903265 MS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221000647 MS Practitioner - Nurse Practitioner 9133531924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neshoba County General HospitalGroup PAC ID 6204738289, 30 clinicians
Hometown Urgent Care and Family MedicineGroup PAC ID 6800266248, 3 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital CurrentSince Sep 18, 2020 Accepting new patients
Neshoba County General Hospital CurrentSince Sep 18, 2020 Accepting new patients
Neshoba County General Hospital Current Accepting new patients
Hometown Urgent Care and Family Medicine CurrentSince May 6, 2023 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

  • Direct secure messaging: jamieagent@neshobahealth.cernerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1245889807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 HIGHWAY 19 N",
            "city": "COLLINSVILLE",
            "state": "MS",
            "postal_code": "393259614",
            "telephone_number": "601-504-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGENT",
        "first_name": "JAMIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.