Individual provider Active NPI

Jerrika P. Myles, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, AL
National Provider Identifier
1972302537
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-155870 Issued in AL
Practice address
141 Scouting Cir
Troy, AL 36081-2540
Phone
(334) 702-7222
Fax
(334) 446-4224
NPI assigned
Mar 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-155870 AL Primary

Addresses

Primary practice location

141 Scouting Cir
Troy, AL 36081-2540

Mailing address

141 Scouting Cir
Troy, AL 36081-2540
Phone (334) 702-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250606001056 AL Practitioner - Nurse Practitioner 2365952686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dothan Behavioral Medicine Clinic PCGroup PAC ID 6305833724, 9 clinicians

Practice addresses (Care Compare)

408 Healthwest Dr
Dothan, AL 36303-2054
Phone 3347027222209

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dothan Behavioral Medicine Clinic PC CurrentSince Apr 1, 2025 Accepting new patients
Dothan Psychiatry & Sleep Disorders Medicine, PC Current Accepting new patients
Dothan Behavioral Medicine Clinic PC CurrentSince Apr 1, 2025 Accepting new patients

Locations

101 Medical Dr
Dothan, AL 36303
Phone (334) 702-7222

408 Healthwest Dr
Dothan, AL 36303
Phone (334) 702-7222

141 Scouting Cir
Troy, AL 36081
Phone (334) 702-7222

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1972302537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SCOUTING CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812540",
            "telephone_number": "334-702-7222",
            "fax_number": "334-446-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SCOUTING CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812540",
            "telephone_number": "334-702-7222",
            "fax_number": "334-446-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYLES",
        "first_name": "JERRIKA",
        "middle_name": "P.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-155870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.