Individual provider Active NPI

Jarett Lawrence Pollan, FNP

  • Family Nurse Practitioner
  • McComb, MS
National Provider Identifier
1831679869
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902695 Issued in MS
Practice address
300 Rawls Dr Ste 100
McComb, MS 39648-2852
Phone
(601) 684-2481
Fax
(601) 684-2488
NPI assigned
Aug 20, 2018
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 902695 MS Primary

Addresses

Primary practice location

300 Rawls Dr Ste 100
McComb, MS 39648-2852

Mailing address

PO Box 490
McComb, MS 39649-0490
Phone (601) 249-2701

Other practice location 1

1065 E Broad St
Monticello, MS 39654-7703
Phone (601) 684-2481

Other practice location 2

200 Marion Ave
McComb, MS 39648-2706
Phone (601) 250-4381

Other practice location 3

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500

Other identifiers 1

IdentifierTypeStateIssuer
08534301MedicaidMS

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
I20190307000046 MS Practitioner - Nurse Practitioner 9638418783 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
Southwest Mississippi Regional Medical CenterGroup PAC ID 5193633907, shared by 11 NPIs, 82 clinicians
Corner Clinic Urgent Care LLCGroup PAC ID 4082903034, 5 clinicians

Practice addresses (Care Compare)

205 Marion Ave
McComb, MS 39648-2705
Phone (601) 684-9116

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-1382

225 Bank 1St Dr
Flowood, MS 39232-6611
Phone (601) 992-0004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902695MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Clinic Urgent Care LLC Family CurrentSince Oct 1, 2021 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Jun 13, 2019 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Dec 14, 2025 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Jun 13, 2019 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Jun 13, 2019 Accepting new patients
Southwest Mississippi Regional Medical Center Current Accepting new patients
Southwest Ms Regional Medical Center Past Accepting new patients

Locations

225 Bank First Dr
Flowood, MS 39232
Phone (601) 992-0004

1311 Aston Ave
McComb, MS 39648
Phone (601) 684-2481

200 Marion Ave
McComb, MS 39648
Phone (601) 250-4381

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

300 Rawls Dr
Ste 100
McComb, MS 39648
Phone (601) 684-2481

300 Rawls Dr
Ste 200
McComb, MS 39648
Phone (601) 249-1570

300 Rawls Dr
Ste 700
McComb, MS 39648
Phone (601) 250-4381

1065 E Broad St
Monticello, MS 39654
Phone (601) 249-1350

Organizations & group practices 7

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 1

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1831679869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396490490",
            "telephone_number": "601-249-2701",
            "fax_number": "601-249-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RAWLS DR STE 100",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482852",
            "telephone_number": "601-684-2481",
            "fax_number": "601-684-2488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MS",
            "postal_code": "396547703",
            "country_code": "US",
            "telephone_number": "601-684-2481",
            "fax_number": "601-684-2488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482706",
            "country_code": "US",
            "telephone_number": "601-250-4381",
            "fax_number": "601-250-4367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482705",
            "country_code": "US",
            "telephone_number": "601-249-5500",
            "fax_number": "601-249-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLAN",
        "first_name": "JARETT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08534301",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

Verify at the official NPI Registry.