Individual provider Active NPI

Ragen Layne Rawson, FNP-C

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1710472758
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902627 Issued in MS
Practice address
971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609
Phone
(601) 200-5955
NPI assigned
Jun 22, 2018
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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 902627 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (601) 200-5955

Other practice location 1

300 S Pearl St # B
Carthage, MS 39051-4108
Phone (601) 298-0333

Other practice location 2

332 Highway 12 W
Kosciusko, MS 39090-3209
Phone (662) 289-1800

Other practice location 3

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-3631

Other practice location 4

59 Montague St
Goodman, MS 39079-9011
Phone (662) 739-6040

Other practice location 5

530 Veterans Memorial Dr
Kosciusko, MS 39090-3858
Phone (662) 289-9155

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
I20180801002495 MS Practitioner - Nurse Practitioner 1557619988 Reassigns benefits to 3 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

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

300 B S Pearl St
Carthage, MS 39051-4108
Phone (601) 298-0333

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-3100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Dominic Medical Associates LLC CurrentSince Oct 1, 2018 Accepting new patients
St. Dominic Medical Associates LLC CurrentSince Oct 1, 2018 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Jul 1, 2018 Accepting new patients
Premier Medical Group of Mississippi LLC CurrentSince Aug 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jul 1, 2018 Accepting new patients
St Dominic Medical Associates LLC Family Past Accepting new patients
Premier Medical Group of Mississippi LLC PastSince Jul 22, 2025 Accepting new patients
Axon Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

300 S Pearl St
#B
Carthage, MS 39051
Phone (601) 298-0333

59 Montague St
Goodman, MS 39079
Phone (662) 739-6040

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

971 Lakeland Dr
Ste 1250
Jackson, MS 39216
Phone (601) 200-5955

332 Highway 12 W
Kosciusko, MS 39090
Phone (601) 206-6100

530 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 289-9155

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Interoperability endpoints

  • Direct secure messaging: ragen.smith.1@27768.direct.athenahealth.com
  • Direct secure messaging: rsmith2546047@direct.casso.us.com

Organizations & group practices 8

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 2

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1710472758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "601-200-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 1250",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164609",
            "telephone_number": "601-200-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Pearl St # B",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514108",
            "country_code": "US",
            "telephone_number": "601-298-0333",
            "fax_number": "601-298-0797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903209",
            "country_code": "US",
            "telephone_number": "662-289-1800",
            "fax_number": "662-289-2486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-200-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Montague St",
            "address_purpose": "LOCATION",
            "city": "Goodman",
            "state": "MS",
            "postal_code": "390799011",
            "country_code": "US",
            "telephone_number": "662-739-6040",
            "fax_number": "662-739-6041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Veterans Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903858",
            "country_code": "US",
            "telephone_number": "662-289-9155",
            "fax_number": "662-289-7752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "RAGEN",
        "middle_name": "LAYNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.