Individual provider Active NPI

Vernice Johnson, APRN

  • Family Nurse Practitioner
  • Batesville, MS
National Provider Identifier
1457034803
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906067 Issued in MS
Practice address
154 Woodland Rd
Batesville, MS 38606-7300
Phone
(731) 394-1145
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 906067 MS Primary

Addresses

Primary practice location

154 Woodland Rd
Batesville, MS 38606-7300

Mailing address

36 Pemberton CV
Jackson, TN 38305-5514
Phone (731) 394-1145

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
I20230905004024 MS Practitioner - Nurse Practitioner 9931562170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Health Corp of Houston, Inc.Group PAC ID 0042102352, 10 clinicians
Progressive Health of Houston LLCGroup PAC ID 0143662429, shared by 4 NPIs, 17 clinicians
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

1002 E Madison St
Houston, MS 38851-2428

156 E Walnut Ave
Eupora, MS 39744-2027
Phone (731) 394-1145

Hospital & facility affiliations

  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health LLC CurrentSince Aug 12, 2023 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Sep 11, 2023 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Sep 11, 2023 Accepting new patients
Strategic Solutions-Panola Medical Center LLC Past Accepting new patients

Locations

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

154 Woodland Rd
Batesville, MS 38606
Phone (662) 563-5636

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

156 E Walnut Ave
Eupora, MS 39744
Phone (662) 258-8293

1220 E Northside Dr
Ste 170
Jackson, MS 39211
Phone (601) 613-6268

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1457034803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PEMBERTON CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055514",
            "telephone_number": "731-394-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WOODLAND RD",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386067300",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VERNICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

Verify at the official NPI Registry.