Active NPI
Paramount Healthcare LLC
- Primary Care Clinic/Center
- Jackson, MS
National Provider Identifier
1548628043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PARAMOUNT HEALTHCARE LLC
- Practice address
- 819 Briarfield Rd
Jackson, MS 39211-4116 - Phone
- (601) 278-4933
- NPI assigned
- Jan 29, 2016
- Last updated
- May 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shireisla Denae Kelly, NP
- Title
- Chief Executive Officer
- Phone
- (601) 278-4933
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU | Primary | |
| Rural Health Clinic/Center | 261QR1300X | NU | ||
| Secured Medical Transport (VAN) | 343800000X | NU | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Bus | 347B00000X | NU | ||
| Private Vehicle | 347C00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
819 Briarfield Rd
Jackson, MS 39211-4116
Mailing address
819 Briarfield Rd
Jackson, MS 39211-4116
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Pearl, MS
- NPI 1972439578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1548628043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 BRIARFIELD RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392114116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 BRIARFIELD RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392114116",
"telephone_number": "601-278-4933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAMOUNT HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-29",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "SHIREISLA",
"authorized_official_middle_name": "DENAE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "601-278-4933",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "347B00000X",
"taxonomy_group": "",
"desc": "Bus",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.