Individual provider Active NPI

Jennifer Loren Atkinson, FNP-BC

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1932877925
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904759 Issued in MS
Practice address
971 Lakeland Dr Ste 950
Jackson, MS 39216-4608
Phone
(601) 362-6900
Fax
(601) 362-6111
NPI assigned
Sep 2, 2021
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904759 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 950
Jackson, MS 39216-4608

Mailing address

971 Lakeland Dr Ste 950
Jackson, MS 39216-4608
Phone (160) 136-2690

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.colefacialclinic.com/ Direct

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
I20220317000578 MS Practitioner - Nurse Practitioner 3678968245 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
904759MSMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Arthritis Clinic PLLC CurrentSince May 3, 2022 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Cole Facial Plastic Surgery PastSince Sep 1, 2021 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

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Interoperability endpoints

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

Organizations & group practices 4

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1932877925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 950",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164608",
            "telephone_number": "160-136-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 950",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164608",
            "telephone_number": "601-362-6900",
            "fax_number": "601-362-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "JENNIFER",
        "middle_name": "LOREN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.colefacialclinic.com/",
            "affiliation": "N",
            "endpointDescription": "Work website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "204 E Layfair Dr",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392329526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.