Individual provider Active NPI

Jordan Eiland Morris, NP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1932641255
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R901664 Issued in MS
Practice address
890 Lakeland Dr
Jackson, MS 39216-4644
Phone
(601) 200-3131
Fax
(601) 200-3109
NPI assigned
Nov 17, 2016
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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 R901664 MS Primary

Addresses

Primary practice location

890 Lakeland Dr
Jackson, MS 39216-4644

Mailing address

PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4749

Other practice location 1

971 Lakeland Dr
Suite 954
Jackson, MS 39216-4643
Phone (601) 200-4718

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
I20170123001199 MS Practitioner - Nurse Practitioner 9638451966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Arthritis Clinic PLLCGroup PAC ID 6800971946, 8 clinicians

Practice addresses (Care Compare)

971 Lakeland Dr
Suite 950
Jackson, MS 39216-4608
Phone (601) 362-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.89 of 100Reported as group
Quality
87.92
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R901664MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Arthritis Clinic PLLC CurrentSince Feb 13, 2023 Accepting new patients
St Dominic Medical Associates PastSince Dec 1, 2016 Accepting new patients

Locations

185 Medical Pkwy
Ste 201
Flowood, MS 39232
Phone (601) 362-6900

971 Lakeland Dr
Ste 950
Jackson, MS 39216
Phone (601) 362-6900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jordan.morris.p1@direct.mac.nextgenshare.com

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.

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1932641255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-4749",
            "fax_number": "601-200-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164644",
            "telephone_number": "601-200-3131",
            "fax_number": "601-200-3109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 Lakeland Dr",
            "address_2": "Suite 954",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164643",
            "country_code": "US",
            "telephone_number": "601-200-4718",
            "fax_number": "601-200-4768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JORDAN",
        "middle_name": "EILAND",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R901664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.