Individual provider Active NPI

Takita M. Murriel, M.D.

  • Family Medicine Physician
  • Jackson, MS
National Provider Identifier
1578827739
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23087 Issued in MS
Practice address
4541 N State St
Jackson, MS 39206-5308
Phone
(662) 560-3874
Fax
(877) 760-0717
NPI assigned
Jul 2, 2012
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23087 MS Primary

Addresses

Primary practice location

4541 N State St
Jackson, MS 39206-5308

Mailing address

109 Hidden Holw
Madison, MS 39110-4558
Phone (769) 666-9162

Other practice location 1

1493 Highway 17
Camden, MS 39045-9524
Phone (769) 666-9162

Other identifiers 1

IdentifierTypeStateIssuer
00608072MedicaidMS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105000113 MS Practitioner - Family Practice 0446560346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Dentistry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Mississippi, LLCGroup PAC ID 7012334170, 16 clinicians

Practice addresses (Care Compare)

4541 N State St
Jackson, MS 39206-5308
Phone (601) 533-7017

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Mississippi, LLC Family Medicine CurrentSince Oct 8, 2021 Accepting new patients
Madison Hma Physician Management, LLC CurrentSince Sep 7, 2015 Accepting new patients
Madison Hma Physician Management LLC CurrentSince Sep 7, 2015 Accepting new patients

Locations

1421 E Peace St
Canton, MS 39046
Phone (601) 855-5131

276 Nissan Pkwy
Ste 100
Canton, MS 39046
Phone (601) 808-3028

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

4541 N State St
Jackson, MS 39206
Phone (601) 533-7017

911 Ellis Ave
Jackson, MS 39209
Phone (601) 533-7016

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1578827739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HIDDEN HOLW",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391104558",
            "telephone_number": "769-666-9162",
            "fax_number": "877-760-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065308",
            "telephone_number": "662-560-3874",
            "fax_number": "877-760-0717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1493 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "MS",
            "postal_code": "390459524",
            "country_code": "US",
            "telephone_number": "769-666-9162",
            "fax_number": "877-760-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRIEL",
        "first_name": "TAKITA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "23087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00608072",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.