Individual provider Active NPI

Jasmine Payton

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1407714124
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
908035 Issued in MS
Practice address
6600 U S Highway 98 # B
Hattiesburg, MS 39402-8441
Phone
(601) 261-2727
NPI assigned
Jan 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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 908035 MS Primary

Addresses

Primary practice location

6600 U S Highway 98 # B
Hattiesburg, MS 39402-8441

Mailing address

807 Starling Center Rd
Walnut Grove, MS 39189-5499

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
I20260304002355 MS Practitioner - Nurse Practitioner 0244712750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 Methodist Blvd
Suite 100
Hattiesburg, MS 39402

807 Starling Ctr Rd
Walnut Grove, MS 39189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
908035MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Otaigbe Southern Medical Care, PLLC CurrentSince Feb 24, 2026 Accepting new patients
Southern Medical Care PastSince Feb 24, 2026 Accepting new patients

Locations

6600 U S Highway 98
#B
Hattiesburg, MS 39402
Phone (601) 261-2727

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1407714124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 STARLING CENTER RD",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391895499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 U S HIGHWAY 98 # B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028441",
            "telephone_number": "601-261-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "908035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.