Organization Active NPI

J Fails, LLC

  • General Practice Physician
  • Vancleave, MS
National Provider Identifier
1780545103
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
J FAILS, LLC
Practice address
11004 Highway 57 Unit C
Vancleave, MS 39565-8278
Phone
(601) 953-3433
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Jennifer Redmond, NP-CNPI 1447261649
Title
Owner
Phone
(601) 953-3433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

11004 Highway 57 Unit C
Vancleave, MS 39565-8278

Mailing address

PO Box 684
Lucedale, MS 39452-0684
Phone (601) 953-3433

National Provider Directory

National Provider Directory
Tax ID family
J Fails LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1780545103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394520684",
            "telephone_number": "601-953-3433",
            "fax_number": "601-791-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11004 HIGHWAY 57 UNIT C",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395658278",
            "telephone_number": "601-953-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J FAILS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-953-3433",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancleave, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.