Individual provider Active NPI

Caryn Alison Johnson, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Whitfield, MS
National Provider Identifier
1841364528
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R869964 Issued in MS
Practice address
3550 Highway 468 W
Whitfield, MS 39193-5529
Phone
(601) 351-8000
NPI assigned
Nov 17, 2006
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R869964 MS Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R869964MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seshadri Raju, M.D., PA. PastSince Jul 14, 1997 Accepting new patients

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1841364528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HIGHWAY 51 STE D",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572103",
            "telephone_number": "769-251-1040",
            "fax_number": "769-251-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 W",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391935529",
            "telephone_number": "601-351-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Highway 51 Ste D",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391572103",
            "country_code": "US",
            "telephone_number": "769-251-1040",
            "fax_number": "769-251-1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3949 MS-43 N",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "39047",
            "country_code": "US",
            "telephone_number": "855-790-8190",
            "fax_number": "769-241-2457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Highpointe Court",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "39042",
            "country_code": "US",
            "telephone_number": "769-251-1040",
            "fax_number": "769-251-1047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARYN",
        "middle_name": "ALISON",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R869964",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R869964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitfield, MS

Sources for this page

Verify at the official NPI Registry.