Jason S. Box, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R875627 Issued in MS

Practice address

1017 Jackson Ave
Leakesville, MS 39451-9105

Phone

(601) 394-2820

Fax

(601) 394-2748

NPI assigned

Jan 4, 2007

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greene County Family Medical ClinicGroup PAC ID 5991867954, 8 clinicians

Community Medical CenterGroup PAC ID 8921072588, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
• Enhabit Home Health of the Gulf Coast Home health agency, Gulfport, MS, CCN 257111
• Greene County Hospital Hospital, Leakesville, MS, CCN 250782
• George Regional Health System Hospital, Lucedale, MS, CCN 250036

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA
• Direct secure messaging: jasonbox@communitym.allscriptsdirect.net
• Direct secure messaging: jasonbox@grh.medalliesdirect.net

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.

• Greene County Family Medical Clinic

  • Rural Health Clinic/Center
  • Leakesville, MS
  • NPI 1689821126
  Medicare reassignment Care Compare group NPD
• Community Medical Center

  • Rural Health Clinic/Center
  • Lucedale, MS
  • NPI 1194734913
  Care Compare group NPD (past)
• George County Hospital

  • Rural Acute Care Hospital
  • Lucedale, MS
  • NPI 1023074028
  NPD
• Inpatient Physician Services

  • Hospitalist Physician
  • Lucedale, MS
  • NPI 1427363928
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Camellia Home Health of the Gulf Coast, LLC

  dba Enhabit Home Health of the Gulf Coast

  • Home Health Agency
  • Gulfport, MS
  • NPI 1013142066
  Care Compare affiliation
• George County Hospital

  • Rural Acute Care Hospital
  • Lucedale, MS
  • NPI 1023074028
  Care Compare affiliation
• George County Hospital

  dba Greene County Hospital

  • Critical Access Hospital
  • Leakesville, MS
  • NPI 1275796856
  Care Compare affiliation
• South Mississippi Home Health, Inc. - Region I

  dba Deaconess HomeCare

  • Home Health Agency
  • Laurel, MS
  • NPI 1326039470
  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1851448906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394521007",
            "telephone_number": "601-947-1332",
            "fax_number": "601-947-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 JACKSON AVE",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394519105",
            "telephone_number": "601-394-2820",
            "fax_number": "601-394-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "JASON",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R875627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Allen, LCSW
• Sherrill Hope Backstrom, PT
• Bethany Ballenger
• Madison Bohannon
• Choice Primary Healthcare PLLC
• Coastal Family Health Center Inc (Coastal Family Health Center, Inc - Green High School Clinic)
• Coastal Family Health Center Inc (Coastal Family Health Center, Inc - Junior High School Clinic)
• Coastal Family Health Center Inc
• Coastal Family Health Center, Inc

• Nurse Practitioner in Leakesville, MS
• Providers in Leakesville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.

Verify at the official NPI Registry.