Caryn Alison Johnson, FNP-BC, PMHNP-BC
Individual provider Active NPI Family Nurse Practitioner · Whitfield, MS
NPI 1841364528 · NPPES record last updated Feb 10, 2026
Key facts
- NPI
- 1841364528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R869964 (MS)
- Practice address
- 3550 Highway 468 W
Whitfield, MS 39193-5529 - Phone
- (601) 351-8000
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
969 Lakeland Dr
Jackson, MS 39216-4699
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R869964 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seshadri Raju, M.D., PA. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R869964 | MS | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R869964 | MS |
Addresses
Primary practice location
3550 Highway 468 W
Whitfield, MS 39193-5529
Mailing address
680 Highway 51 Ste D
Ridgeland, MS 39157-2103
Phone (769) 251-1040
Other practice location 1
680 Highway 51 Ste D
Ridgeland, MS 39157-2103
Phone (769) 251-1040
Other practice location 2
3949 Ms-43 N
Brandon, MS 39047
Phone (855) 790-8190
Other practice location 3
109 Highpointe Court
Brandon, MS 39042
Phone (769) 251-1040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630575YKHV | Other | MS | MEDICARE |
| 04627304 | Medicaid | MS | |
| P02160922 | Other | MS | RAILROAD MEDICARE |
| R869964 | Other | MS | RN LICENSE |
Other providers in Whitfield, MS
- Jaquith Nursing Home - Jaquith Inn
- Jaquith Nursing Home - Jefferson Inn
- Jaquith Nursing Home - Madison Inn
- Jaquith Nursing Home - Monroe Inn
- Esther W Jiles
- Cynthia Johnson
- Laura M Johnson
- Joel Jung
- Kanieshawa Kelly
- Zinat K Khandekar
All providers in Whitfield, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.