Individual provider Active NPI

Jamie Elaine Thornton, CNP

  • Family Nurse Practitioner
  • Sumrall, MS
National Provider Identifier
1326524646
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902671 Issued in MS
Practice address
1238 Highway 42
Sumrall, MS 39482
Phone
(601) 758-3100
NPI assigned
Jul 19, 2018
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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 902671 MS Primary

Addresses

Primary practice location

1238 Highway 42
Sumrall, MS 39482

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 758-3100

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
I20180907001038 MS Practitioner - Nurse Practitioner 3577813880 Reassigns benefits to 4 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
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

601 Hwy 80 E
Clinton, MS 39056-5122
Phone (601) 708-1480

6176 U S Hwy 98
Hattiesburg, MS 39402-8530
Phone (601) 475-0444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902671MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxem Health Urgent Care Magee CurrentSince Jul 19, 2022 Accepting new patients
Trustcare Health, LLC CurrentSince Sep 8, 2020 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Oct 15, 2018 Accepting new patients
Orange Grove Urgent Care CurrentSince Jul 6, 2021 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Oct 15, 2018 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients

Locations

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

6176 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 475-0444

1529 Simpson Highway 49
Magee, MS 39111
Phone (601) 439-7288

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

361 Township Ave
#200
Ridgeland, MS 39157
Phone (601) 499-0953

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Interoperability endpoints

  • Direct secure messaging: jamie.thornton.1@19538.direct.athenahealth.com

Organizations & group practices 6

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1326524646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-758-3100",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 HIGHWAY 42",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "39482",
            "telephone_number": "601-758-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "JAMIE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumrall, MS

Sources for this page

Verify at the official NPI Registry.