Individual provider Active NPI

Haley Mitchell, FNP-C

  • Family Nurse Practitioner
  • Brookhaven, MS
National Provider Identifier
1538047949
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907649 Issued in MS
Practice address
327 N Jackson St
Brookhaven, MS 39601-3041
Phone
(601) 833-3800
NPI assigned
Aug 25, 2025
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 907649 MS Primary

Addresses

Primary practice location

327 N Jackson St
Brookhaven, MS 39601-3041

Mailing address

310 Westside LN NW
Brookhaven, MS 39601-4532
Phone (601) 278-3810

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
I20251212003491 MS Practitioner - Nurse Practitioner 1951895283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Primary Care PLLCGroup PAC ID 3870765258, 2 clinicians

Practice addresses (Care Compare)

327 N Jackson St
Brookhaven, MS 39601-3041
Phone (601) 833-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907649MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumley Health Services LLC CurrentSince Apr 9, 2024 Accepting new patients
Southern Primary Care PLLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

327 N Jackson St
Brookhaven, MS 39601
Phone (601) 754-9411

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, 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": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1538047949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WESTSIDE LN NW",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396014532",
            "telephone_number": "601-278-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N JACKSON ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013041",
            "telephone_number": "601-833-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "HALEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.