Active NPI
Caryn Alison Johnson, FNP-BC, PMHNP-BC
- Family Nurse Practitioner
- Whitfield, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R869964
- Practice address
- 3550 Highway 468 W
Whitfield, MS 39193-5529 - Phone
- (601) 351-8000
- NPI assigned
- Nov 17, 2006
- Last updated
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| 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 |
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.
-
dba b/ba Performance Weight Loss and MediSpa
- Health Service Clinic/Center
- Ridgeland, MS
- NPI 1417230186
-
- Vascular Surgery Physician
- Jackson, MS
- NPI 1174556377
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.