Active NPI
Christopher Powe, NP
- Nurse Practitioner
- Jackson, MS
National Provider Identifier
1306880869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R761402
- Practice address
- 2500 North State Street
Jackson, MS 39216 - Phone
- (601) 815-1312
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R761402 | MS | Primary |
Addresses
Primary practice location
2500 North State Street
Jackson, MS 39216
Mailing address
1065 Ridgeside Drive
Brandon, MS 39042
Phone (601) 201-1017
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202011213A | Other | MS | BLUE CROSS |
| 04533325 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R761402 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgery Associates, PLLC | Past | Accepting new patients | |
| University Radiation Oncology Consultants, PLLC | Past | Accepting new patients | |
| Sterling Emergency Services of Mississippi, Inc | Nurse Practitioner | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Jackson, MS
- NPI 1932167533
-
- Radiation Oncology Physician
- Jackson, MS
- NPI 1316026818
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jackson, MS
- NPI 1356451652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1306880869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 RIDGESIDE DRIVE",
"city": "BRANDON",
"state": "MS",
"postal_code": "39042",
"telephone_number": "601-201-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-815-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWE",
"first_name": "CHRISTOPHER",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R761402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "202011213A",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04533325",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.