Individual provider Active NPI

Jenna Kay Cole, FNP-BC

  • Family Nurse Practitioner
  • Laurel, MS
National Provider Identifier
1962777896
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R885106 Issued in MS
Practice address
30 Circle J Dr
Ste 1
Laurel, MS 39440-1980
Phone
(601) 425-0092
Fax
(601) 425-0473
NPI assigned
Mar 10, 2012
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 R885106 MS Primary

Addresses

Primary practice location

30 Circle J Dr
Ste 1
Laurel, MS 39440-1980

Mailing address

30 Circle J Dr
Ste 1
Laurel, MS 39440-1980
Phone (601) 425-0092

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
I20120502000552 MS Practitioner - Nurse Practitioner 2668634932 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

1051 Highland Colony Pkwy
Suite E
Ridgeland, MS 39157-7701
Phone (601) 707-3737

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R885106MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMC - Attala, LLC CurrentSince May 1, 2023 Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince May 1, 2023 Accepting new patients
Trustcare Primary Care, LLC CurrentSince Sep 25, 2023 Accepting new patients
Baptist Medical Center-Leake, Inc. CurrentSince May 1, 2023 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince May 1, 2023 Accepting new patients
Baptist Medical Center-Leake, Inc Current Accepting new patients
Trustcare Health, LLC CurrentSince Nov 1, 2019 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
Baptist Medical Center-Leake, Inc CurrentSince May 1, 2023 Accepting new patients
Baptist Medical Center - Yazoo, Inc Current Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince May 1, 2023 Accepting new patients
South Ridge Family Clinic, LLC CurrentSince Jan 4, 2016 Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince May 1, 2023 Accepting new patients
St. Dominic Jackson Memorial Past Accepting new patients
Advantage Health Saint Mary's Medical Group Past Accepting new patients

Locations

1490 W Government St
Ste 10
Brandon, MS 39042
Phone (601) 825-1936

1645 W Government St
Ste F
Brandon, MS 39042
Phone (601) 829-6600

1887 Spillway Rd
Brandon, MS 39047
Phone (601) 992-5532

106 Clinton Pkwy
Clinton, MS 39056
Phone (601) 924-9005

601 Highway 80 E
Clinton, MS 39056
Phone (601) 708-1480

80 Hal Crocker Rd
Ellisville, MS 39437
Phone (601) 477-2221

151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288

1710 Old Fannin Rd
Flowood, MS 39232
Phone (601) 487-9191

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

1200 N State St
Ste LL10
Jackson, MS 39202
Phone (601) 362-7280

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

4880 I 55 Frontage Rd N
Jackson, MS 39211
Phone (601) 467-9199

6250 Old Canton Rd
Ste 100
Jackson, MS 39211
Phone (601) 957-1015

7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

2173 Main St
Madison, MS 39110
Phone (601) 605-3858

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

401 Baptist Dr
Ste 401
Madison, MS 39110
Phone (601) 853-1070

3011 Greenfield Rd
Pearl, MS 39208
Phone (601) 825-9000

1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

1067 Highland Colony Pkwy
Ste G
Ridgeland, MS 39157
Phone (601) 707-3490

786 Lake Harbour Dr
Ridgeland, MS 39157
Phone (601) 499-0022

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6104/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jcole576205@direct.bmhcc.org
  • Direct secure messaging: jenna.cole.1@19538.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

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": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1962777896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CIRCLE J DR",
            "address_2": "STE 1",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401980",
            "telephone_number": "601-425-0092",
            "fax_number": "601-425-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CIRCLE J DR",
            "address_2": "STE 1",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401980",
            "telephone_number": "601-425-0092",
            "fax_number": "601-425-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JENNA",
        "middle_name": "KAY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-10",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R885106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.