Individual provider Active NPI

Jason Cody Pickett, M.D.

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1699138479
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
51927 Issued in AL
Practice address
3504 Vann Rd Ste 100
Birmingham, AL 35235-3221
Phone
(205) 655-0585
Fax
(205) 655-0586
NPI assigned
Mar 30, 2016
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25116 MS
Forensic Psychiatry Physician 2084F0202X 51927 AL
Psychiatry Physician 2084P0800X 25116 MS
Psychiatry Physician 2084P0800X 51927 AL Primary

Addresses

Primary practice location

3504 Vann Rd Ste 100
Birmingham, AL 35235-3221

Mailing address

362 S Thomas St
Tupelo, MS 38801-5333
Phone (662) 223-3737

Other practice location 1

830 S Gloster St
Tupelo, MS 38801-4996
Phone (662) 377-3000

Other identifiers 1

IdentifierTypeStateIssuer
03887308MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpickett437916@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, VA, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180227001349 MS Practitioner - Emergency Medicine 7113214222 Reassigns benefits to 4 organizations
I20190516001073 VA Practitioner - Emergency Medicine 7113214222 Reassigns benefits to 2 organizations
I20260505003238 AL Practitioner - PsychiatryPractitioner - Emergency Medicine 7113214222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Emergency Medicine
Education
University of Mississippi School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians
Relias Emergency Medicine Specialists of Tupelo LLCGroup PAC ID 6608179734, 39 clinicians

Practice addresses (Care Compare)

3504 Vann Rd
Suite 100
Birmingham, AL 35235-3221
Phone (205) 655-0585

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51927ALMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jul 5, 2019 Accepting new patients
RH Arise Venture of Tupelo LLC Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Grayson and Associates PC Psychiatry CurrentSince Mar 1, 2026 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Attala Emergency Group LLC Emergency Medicine CurrentSince Jun 5, 2018 Accepting new patients
Magnolia Psychiatric Services PLLC Current Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
SVPS Psychiatric Services LLC Psychiatry PastSince Mar 1, 2026 Accepting new patients

Locations

3504 Vann Rd
#100
Trussville, AL 35235
Phone (205) 655-0585

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

777 Holly Hill Dr
Tupelo, MS 38801
Phone (662) 432-1221

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

Interoperability endpoints

  • Direct secure messaging: jasonpickett@nmhs.medalliesdirect.net
  • Direct secure messaging: jpickett437916@direct.healthsystem.virginia.edu

Organizations & group practices 10

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 1

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1699138479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 S THOMAS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015333",
            "telephone_number": "662-223-3737",
            "fax_number": "601-429-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 VANN RD STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353221",
            "telephone_number": "205-655-0585",
            "fax_number": "205-655-0586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Gloster St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014996",
            "country_code": "US",
            "telephone_number": "662-377-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "JASON",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "25116",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "AL",
            "license": "51927",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "25116",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "51927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03887308",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpickett437916@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1215 Lee St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.