Individual provider Active NPI

Jodie Lynette Sartin, NP

  • Family Nurse Practitioner
  • Brookhaven, MS
National Provider Identifier
1699339200
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903316 Issued in MS
Practice address
1007 W Congress St
Brookhaven, MS 39601-2603
Phone
(601) 833-9388
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903316 MS Primary
Primary Care Nurse Practitioner 363LP2300X 903316 MS

Addresses

Primary practice location

1007 W Congress St
Brookhaven, MS 39601-2603

Mailing address

231 Highway 84 W
Brookhaven, MS 39601-9264
Phone (601) 757-2970

Other practice location 1

521 Marion Ave
McComb, MS 39648-2009
Phone (601) 600-2053

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
I20190807003802 MS Practitioner - Nurse Practitioner 2264769660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridging Community With Healthcare, LLCGroup PAC ID 9537380944, 12 clinicians
Copiah County Medical CenterGroup PAC ID 2062583487, 19 clinicians

Practice addresses (Care Compare)

1005 W Congress St
Brookhaven, MS 39601-2603
Phone (601) 833-9388

1007 W Congress St
Brookhaven, MS 39601-2603

1037 Hwy 84 E
Brookhaven, MS 39601-8776
Phone (601) 833-9388

27190 Hwy 28
Hazlehurst, MS 39083-2224
Phone (601) 574-7000

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Deaconess Homecare-Region I I Home health agency, Brookhaven, MS, CCN 257135
  • Arden Home Health of West Ms, LLC Home health agency, Ridgeland, MS, CCN 257115
  • King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057
  • Copiah County Medical Center Hospital, Hazlehurst, MS, CCN 251327

Merit-based Incentive Payment System (MIPS)

Final score
57.12 of 100Reported as group
Quality
61.43
Improvement activities
20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Copiah County Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Bridging Community With Healthcare, LLC CurrentSince Jun 1, 2019 Accepting new patients
Copiah County Medical Center CurrentSince Feb 1, 2025 Accepting new patients

Locations

430 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-7455

1007 W Congress St
Brookhaven, MS 39601
Phone (601) 833-9388

1037 Highway 84 E
Brookhaven, MS 39601
Phone (601) 823-3221

1005 W Congress St
Brookhaven, MS 39601
Phone (601) 833-6333

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

521 Marion Ave
McComb, MS 39648
Phone (601) 600-2053

Interoperability endpoints

  • Direct secure messaging: jodie.sartin.1@29866.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1699339200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 HIGHWAY 84 W",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396019264",
            "telephone_number": "601-757-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W CONGRESS ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012603",
            "telephone_number": "601-833-9388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482009",
            "country_code": "US",
            "telephone_number": "601-600-2053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTIN",
        "first_name": "JODIE",
        "middle_name": "LYNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903316",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "903316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.