Individual provider Active NPI

Jenna Freeman, FNP

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1689553083
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907506 Issued in MS
Practice address
5002 Highway 39 N BLDG C
Meridian, MS 39301-1078
Phone
(601) 385-9111
NPI assigned
Aug 29, 2025
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907506 MS Primary

Addresses

Primary practice location

5002 Highway 39 N BLDG C
Meridian, MS 39301-1078

Mailing address

670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924002140 MS Practitioner - Nurse Practitioner 4486159191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 385-9111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Columbus Orthopaedic Clinic, P.a. CurrentSince Sep 15, 2025 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. CurrentSince Sep 15, 2025 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. Past Accepting new patients

Locations

670 Leigh Dr
Columbus, MS 39705
Phone (662) 327-4540

5002 Highway 39 N
Bldg C
Meridian, MS 39301
Phone (601) 385-9111

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

1003 Holland Ave
Ste 104
Philadelphia, MS 39350
Phone (601) 385-9111

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.

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": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1689553083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "662-328-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 HIGHWAY 39 N BLDG C",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011078",
            "telephone_number": "601-385-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JENNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.