John Bernard Harris IV, AGACNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906168 Issued in MS

Practice address

1515 Jefferson St
Laurel, MS 39440-4244

Phone

(601) 426-3421

Fax

(601) 426-2493

NPI assigned

Sep 3, 2021

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jones Family Medicine Clinic PLLCGroup PAC ID 6406880368, 10 clinicians

Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jasper General Hospital Hospital, Bay Springs, MS, CCN 250018
• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

Merit-based Incentive Payment System (MIPS)

Final score

94.76 of 100Reported as group

Quality

87.92

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jharris43676@mlh.direct-ci.com

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.

• Jones Family Medicine Clinic PLLC

  • Primary Care Clinic/Center
  • Laurel, MS
  • NPI 1841385168
  Medicare reassignment Care Compare group NPD
• Specialty Physician Group LLC

  • Cardiovascular Disease Physician
  • Germantown, TN
  • NPI 1174842181

  Acute Care

  Medicare reassignment Care Compare group NPD
• JFMC Ellisville, LLC

  • Primary Care Clinic/Center
  • Ellisville, MS
  • NPI 1407121338
  NPD
• JFMC Heidelberg, LLC

  • Primary Care Clinic/Center
  • Heidelberg, MS
  • NPI 1083074959
  NPD

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

• Jasper General Hospital

  • General Acute Care Hospital
  • Bay Springs, MS
  • NPI 1396730164
  Care Compare affiliation
• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542
  Care Compare affiliation

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1255009114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247",
            "telephone_number": "601-399-6169",
            "fax_number": "601-399-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 JEFFERSON ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404244",
            "telephone_number": "601-426-3421",
            "fax_number": "601-426-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394404243",
            "country_code": "US",
            "telephone_number": "601-425-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Ave B",
            "address_purpose": "LOCATION",
            "city": "Ellisville",
            "state": "MS",
            "postal_code": "394372080",
            "country_code": "US",
            "telephone_number": "601-477-8553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Circle J Dr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394401980",
            "country_code": "US",
            "telephone_number": "601-425-0092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 N 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394402656",
            "country_code": "US",
            "telephone_number": "601-426-5125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7655 Poplar Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381384933",
            "country_code": "US",
            "telephone_number": "901-761-2470",
            "fax_number": "901-767-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOHN",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000029981",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "906168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906168",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000029981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Harper, CRISIS SERVICES
• Jillian Francelia Harper, LMSW
• Mary Harper
• William Andrew Harrelson
• Chadwick J. Harris, DMD
• Martha A Harris, RN
• John Hassell, MD
• Jennifer Hathorn, IDD WAIVER SERVICES
• Hattiesburg Clinic PA (Dermatology Clinic of Laurel)
• Hattiesburg Clinic PA (Immediate Care - Laurel)

• Family Nurse Practitioner in Laurel, MS
• Providers in Laurel, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.