Individual provider Active NPI

Jeron Markeith Lowery

  • Registered Nurse First Assistant
  • Ocean Springs, MS
National Provider Identifier
1609676998
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
901402 Issued in MS
Practice address
3321 N 10TH St
Ocean Springs, MS 39564-8005
Phone
(478) 697-0436
NPI assigned
Mar 15, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 901402 MS Primary

Addresses

Primary practice location

3321 N 10TH St
Ocean Springs, MS 39564-8005

Mailing address

3321 N 10TH St
Ocean Springs, MS 39564-8005
Phone (478) 697-0436

Other practice location 1

150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 432-1571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
901402MSMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Surgical Assist Registered Nurse First Assistant CurrentSince Mar 30, 2025 Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

Organizations & group practices 1

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": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1609676998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 N 10TH ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648005",
            "telephone_number": "478-697-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 N 10TH ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648005",
            "telephone_number": "478-697-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Reynoir St",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395304130",
            "country_code": "US",
            "telephone_number": "228-432-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "JERON",
        "middle_name": "MARKEITH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MS",
            "license": "901402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.