Individual provider Active NPI

Jenna Marie Ainsworth, PA-C

  • Medical Physician Assistant
  • Flowood, MS
National Provider Identifier
1346790417
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00303 Issued in MS
Practice address
1006 Treetops Blvd
Suite 101
Flowood, MS 39232-7645
Phone
(601) 939-0005
Fax
(601) 936-4949
NPI assigned
Oct 12, 2016
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00303 MS Primary

Addresses

Primary practice location

1006 Treetops Blvd
Suite 101
Flowood, MS 39232-7645

Mailing address

1006 Treetops Blvd
Suite 101
Flowood, MS 39232-7645
Phone (601) 939-0005

Other names 1

  • Jenna Haberman Former name

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
I20170411000258 MS Practitioner - Physician Assistant 9335425156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Dermatology Associates, PLLCGroup PAC ID 4688836521, 5 clinicians

Practice addresses (Care Compare)

1006 Treetops Blvd
Flowood, MS 39232-7645
Phone (601) 939-0005

Merit-based Incentive Payment System (MIPS)

Final score
93.58 of 100Reported as individual
Quality
88.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00303MSMDMedical Physician Assistant

Organizations & group practices 1

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": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1346790417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 TREETOPS BLVD",
            "address_2": "SUITE 101",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327645",
            "telephone_number": "601-939-0005",
            "fax_number": "601-936-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 TREETOPS BLVD",
            "address_2": "SUITE 101",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327645",
            "telephone_number": "601-939-0005",
            "fax_number": "601-936-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "HABERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.