Jana R Keith, W.H.N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R606456 Issued in MS

Practice address

551 Eagle Day Ave
Columbia, MS 39429-3605

Phone

(601) 736-6137

Fax

(601) 731-1383

NPI assigned

Feb 7, 2006

Last updated

Feb 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Pavilion of South Mississippi PLLCGroup PAC ID 5799769535, 8 clinicians

Southern Women's Health, PLLCGroup PAC ID 2567497985, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22789/brand/1/csg/1/fhir/r4
• Direct secure messaging: jana.keith.1@28954.direct.athenahealth.com

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.

• Southern Women's Health, PLLC

  • Obstetrics Physician
  • Jackson, MS
  • NPI 1174744379
  Medicare reassignment Care Compare group NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Obstetrics & Gynecology Physician
  • Hattiesburg, MS
  • NPI 1396795571
  Medicare reassignment Care Compare group NPD
• Oxford Clinic for Women, PLLC

  • Specialist
  • Oxford, MS
  • NPI 1578105540
  NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Obstetrics & Gynecology Physician
  • Ellisville, MS
  • NPI 1407235971
  NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Rural Health Clinic/Center
  • Hattiesburg, MS
  • NPI 1548640642
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1609849108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 EAGLE DAY AVE",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293605",
            "telephone_number": "601-736-6137",
            "fax_number": "601-731-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 EAGLE DAY AVE",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293605",
            "telephone_number": "601-736-6137",
            "fax_number": "601-731-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JANA",
        "middle_name": "R",
        "credential": "W.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R606456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118930",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Neal Johnson, M.D.
• Connie Jones, PCMHT
• JRSM Enterprises, Inc (The Grove)
• K & E Drugs (Cook & Fortenberry Pharmacy)
• K & E Drugs (Cook and Fortenberry Pharmacy)
• Ginny Warren Kemp, L.P.C.
• Jerry Lynn Kimble, D.C.
• Lab & Geaux LLC
• Baneka Lane, OWNER
• Mai Lati

• Women's Health Nurse Practitioner in Columbia, MS
• Providers in Columbia, MS by specialty
• Women's Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.

Verify at the official NPI Registry.