Individual provider Active NPI

Jarrod Edward Gant, DHA,DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1972143626
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903746 Issued in MS
Practice address
82 Summer PL
Hattiesburg, MS 39402-8222
Phone
(601) 498-9181
NPI assigned
Jan 10, 2020
Last updated
May 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 903746 MS Primary

Addresses

Primary practice location

82 Summer PL
Hattiesburg, MS 39402-8222

Mailing address

82 Summer PL
Hattiesburg, MS 39402-8222

Other identifiers 1

IdentifierTypeStateIssuer
01527052MedicaidMS

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
I20200212000116 MS Practitioner - Nurse Practitioner 6002242013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.76 of 100Reported as group
Quality
87.92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903746MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JFMC Heidelberg, LLC CurrentSince Mar 20, 2023 Accepting new patients
Jones Family Medicine Clinic PLLC CurrentSince Mar 20, 2023 Accepting new patients

Locations

235 S 14th Ave
#Q
Laurel, MS 39440
Phone (601) 651-2830

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1972143626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SUMMER PL",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SUMMER PL",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028222",
            "telephone_number": "601-498-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT",
        "first_name": "JARROD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DHA,DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01527052",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.