Individual provider Active NPI

Jason Allen McCain, MSN, AGPCNP

  • Nurse Practitioner
  • Etta, MS
National Provider Identifier
1740896745
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904153 Issued in MS
Practice address
297 County Road 244
Etta, MS 38627-9523
Phone
(662) 281-9992
NPI assigned
Sep 16, 2020
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904153 MS Primary

Addresses

Primary practice location

297 County Road 244
Etta, MS 38627-9523

Mailing address

297 County Road 244
Etta, MS 38627-9523
Phone (662) 281-9992

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
I20210127001066 MS Practitioner - Nurse Practitioner 9436309358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Hill Health Services, LLCGroup PAC ID 8921358128, 6 clinicians

Practice addresses (Care Compare)

2580 Jackson Ave W
Oxford, MS 38655-5497
Phone (662) 234-9112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Hill Health Services, LLC CurrentSince Feb 1, 2021 Accepting new patients
Oxford Outpatient Center, LLC Past Accepting new patients

Locations

2580 Jackson Ave W
Ste 44
Oxford, MS 38655
Phone (662) 234-9112

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1740896745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 COUNTY ROAD 244",
            "city": "ETTA",
            "state": "MS",
            "postal_code": "386279523",
            "telephone_number": "662-281-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 COUNTY ROAD 244",
            "city": "ETTA",
            "state": "MS",
            "postal_code": "386279523",
            "telephone_number": "662-281-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "JASON",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MSN, AGPCNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etta, MS

Sources for this page

Verify at the official NPI Registry.