Individual provider Active NPI

Garrett Lloyd Jones, NP-C

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1760865216
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R891135 Issued in MS
Practice address
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone
(601) 268-8000
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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 R891135 MS Primary

Addresses

Primary practice location

5001 Hardy St
Hattiesburg, MS 39402-1308

Mailing address

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8000

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
I20150901002293 MS Practitioner - Nurse Practitioner 9638485923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Health Care , LLCGroup PAC ID 4789740044, 4 clinicians
Ms Pain and MigraineGroup PAC ID 5496162026, 6 clinicians

Practice addresses (Care Compare)

300 Cahal St
Hattiesburg, MS 39401-2922
Phone (601) 550-3153

4 Willow PT
Hattiesburg, MS 39402-1150
Phone (601) 582-6069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R891135MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Pain & Migraine CurrentSince Jun 1, 2021 Accepting new patients
Pioneer Health Care , LLC CurrentSince Jun 1, 2022 Accepting new patients
Ms Pain & Migraine CurrentSince Jun 1, 2021 Accepting new patients
Conx Care Corporation Past Accepting new patients

Locations

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

4 Willow Pt
Hattiesburg, MS 39402
Phone (601) 582-6069

6766 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 255-0010

4 Willow Pt
Ste 1
Hattiesburg, MS 39402
Phone (601) 296-3070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
  • Direct secure messaging: garrett.jones.1@8276.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1760865216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021308",
            "telephone_number": "601-268-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021308",
            "telephone_number": "601-268-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GARRETT",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R891135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.