Jennifer Elaine Petitto Olivier, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

32478 Issued in MS

Practice address

1837 Cooper Rd
Picayune, MS 39466-2838

Phone

(769) 717-5005

NPI assigned

May 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Elaine Petitto Former name

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

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 2

Specialty

Allergy/Immunology

Education

Louisiana State University School of Medicine in Shreveport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hattiesburg Clinic PA 525 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Community Hospital Hospital, Picayune, MS, CCN 250117
• Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joliver135572@directpatientrecord.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hattiesburg Clinic PA

  • Multi-Specialty Clinic/Center
  • Hattiesburg, MS
  • NPI 1740213446

  MS

  Medicare reassignment NPD
• Slidell Memorial Hospital

  • Clinic/Center
  • Slidell, LA
  • NPI 1801020433

  LA

  Medicare reassignment NPD
• Hattiesburg Clinic, PA

  • Allergy & Immunology Physician
  • Picayune, MS
  • NPI 1588220008

  Allergy & Immunology

  NPD
• Hattiesburg Clinic, PA

  • Primary Care Clinic/Center
  • Flowood, MS
  • NPI 1912600354
  NPD
• Hattiesburg Clinic, PA

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Laurel, MS
  • NPI 1245263540

  Allergy & Immunology

  NPD (past)
• State of Mississippi - University of Mississippi Medical Center

  • Critical Access Hospital
  • Lexington, MS
  • NPI 1386630705
  NPD (past)
• Ochsner Pharmacy and Wellness, LLC

  • Clinic Pharmacy
  • New Orleans, LA
  • NPI 1518073824
  NPD (past)
• Slidell Memorial Hospital

  • Specialist
  • Slidell, LA
  • NPI 1558301093
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forrest County General Hospital

  • General Acute Care Hospital
  • Picayune, MS
  • NPI 1053350462

  Hospital

  Care Compare affiliation
• Slidell Memorial Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1578568481

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1659699726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-264-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 COOPER RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662838",
            "telephone_number": "769-717-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE PETITTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "206022",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MS",
            "license": "32478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PETITTO",
            "middle_name": "ELAINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ochsner Mississippi, LLC
• Ochsner Mississippi, LLC
• Ochsner Mississippi, LLC
• Ochsner Mississippi, LLC
• Patricia M Olive, R.PH.
• Open Minds Community Improvement Center
• Nanci W Parish, FNP-BC
• Pathway Diagnostics LLC
• Pathways to Behavioral Support LLC
• Annie Deloris Patrick

• All providers in Picayune, MS
• Allergy & Immunology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.