Organization Active NPI

Gayle P Harrell LLC

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1427289743
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0803026 Issued in MS
Legal business name
GAYLE P HARRELL LLC
Practice address
1190 N State St
Suite LL01
Jackson, MS 39202-2413
Phone
(601) 968-1000
Fax
(601) 944-9780
NPI assigned
Aug 4, 2009
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Gayle Harrell
Title
Owner
Phone
(601) 672-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F0803026 MS Primary

Addresses

Primary practice location

1190 N State St
Suite LL01
Jackson, MS 39202-2413

Mailing address

1190 N State St
Suite LL01
Jackson, MS 39202-2413
Phone (601) 968-1000

Other practice location 1

1260 Barker Rd
Pelahatchie, MS 39145-4031
Phone (601) 672-9116

National Provider Directory

National Provider Directory

Locations

1040 River Oaks Dr
Ste 102
Jackson, MS 39232
Phone (601) 924-9152

1190 N State St
#1
Jackson, MS 39202
Phone (601) 292-4292

1225 N State St
Ste 400
Jackson, MS 39202
Phone (601) 968-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1427289743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST",
            "address_2": "SUITE LL01",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022413",
            "telephone_number": "601-968-1000",
            "fax_number": "601-944-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST",
            "address_2": "SUITE LL01",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022413",
            "telephone_number": "601-968-1000",
            "fax_number": "601-944-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 Barker Rd",
            "address_purpose": "LOCATION",
            "city": "Pelahatchie",
            "state": "MS",
            "postal_code": "391454031",
            "country_code": "US",
            "telephone_number": "601-672-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAYLE P HARRELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-672-9116"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F0803026",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.