Individual provider Active NPI

Patricia Ann Dotson, NP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1245990118
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904525 Issued in MS
Practice address
243 Overlook PL
Jackson, MS 39212-3224
Phone
(601) 613-6089
NPI assigned
Dec 20, 2021
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 904525 MS Primary

Addresses

Primary practice location

243 Overlook PL
Jackson, MS 39212-3224

Mailing address

243 Overlook PL
Jackson, MS 39212-3224
Phone (601) 613-6089

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
I20221221000937 MS Practitioner - Nurse Practitioner 7911377635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Mississippi Civic Improvement Association, IncGroup PAC ID 4183533235, shared by 26 NPIs, 48 clinicians

Practice addresses (Care Compare)

145 Raymond Rd
Jackson, MS 39204-3802
Phone (601) 372-1800

3502 W Northside Dr
Jackson, MS 39213-4454
Phone (601) 362-5321

550 Caldwell Dr
Hazlehurst, MS 39083-2304
Phone (601) 894-1448

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NP Care Anywhere LLC CurrentSince May 7, 2026 Accepting new patients
Signify Health, LLC CurrentSince Aug 7, 2025 Accepting new patients
Central Mississippi Civic Improvement Association, Inc. Past Accepting new patients

Locations

590 Springridge Rd
Clinton, MS 39056
Phone (601) 488-8101

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (662) 390-7670

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1245990118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 OVERLOOK PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123224",
            "telephone_number": "601-613-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 OVERLOOK PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123224",
            "telephone_number": "601-613-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.