Active NPI
Jessica Eustis Miller, FNP
- Family Nurse Practitioner
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 907169
- Practice address
- 5001 Hardy St
Hattiesburg, MS 39402-1308 - Phone
- (601) 268-8000
- NPI assigned
- Jan 25, 2025
- Last updated
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 907169 | MS | Primary |
Addresses
Primary practice location
5001 Hardy St
Hattiesburg, MS 39402-1308
Mailing address
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 296-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16065 Lamonte Dr
Hammond, LA 70403-1405
Phone (985) 892-7070
801 Hwy 11 S
Suite C
Picayune, MS 39466-5383
Phone (796) 242-3185
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Physician Services LLC | Current | Accepting new patients | |
| Wound Care Associates LLC | Current | Accepting new patients | |
| Hattiesburg HB Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008
16065 Lamonte Dr
Hammond, LA 70403
Phone (855) 432-5328
3661 Sangani Blvd
Ste D1
Diberville, MS 39540
Phone (228) 300-8235
5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000
801 Highway 11 S
Ste C
Picayune, MS 39466
Phone (769) 242-3185
431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440
Interoperability endpoints
- https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
Organizations & group practices 3
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.
-
dba Merit Health Wesley
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1699456376
Nurse Practitioner
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1538200209
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highland Community Hospital
- General Acute Care Hospital
- Picayune, MS
- NPI 1053350462
-
dba Mississippi HomeCare of Picayune
- Home Health Agency
- Picayune, MS
- NPI 1548293582
-
dba Riverside Pediatrics and Internal Medicine Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1093189797
Hospital
-
dba Riverside Surgical Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1104290949
Hospital
-
dba Riverside Cardiology Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1538634977
Hospital
-
- Critical Access Hospital
- Franklinton, LA
- NPI 1700874062
-
dba Riverside Specialty Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1710438361
Hospital
-
dba Riverside Internal Medicine Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1952751679
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1598577512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 HARDY ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021308",
"telephone_number": "601-296-2090",
"fax_number": "601-296-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 HARDY ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021308",
"telephone_number": "601-268-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JESSICA",
"middle_name": "EUSTIS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-25",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.