Individual provider Active NPI

Lori Beth Brent, FNP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1992958169
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R865418 Issued in MS
Practice address
1227 N State St
Ste 101
Jackson, MS 39202-2002
Phone
(601) 355-2485
Fax
(601) 353-1463
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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 R865418 MS Primary

Addresses

Primary practice location

1227 N State St
Ste 101
Jackson, MS 39202-2002

Mailing address

1227 N State St
Ste 101
Jackson, MS 39202-2002
Phone (601) 355-2485

Other practice location 1

2200 Highway 61 N Ste 3300
Vicksburg, MS 39183-8246
Phone (601) 638-3447

Other practice location 2

2969 Curran Dr N Ste 200
Jackson, MS 39216-4121
Phone (601) 974-5600

Other identifiers 1

IdentifierTypeStateIssuer
08234791MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmagee@joncology.oncoemrdirect.com

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
I20081226000117 MS Practitioner - Nurse Practitioner 1658433750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Oncology AssociatesGroup PAC ID 2860392735, 12 clinicians

Practice addresses (Care Compare)

2200 Hwy 61 N
Suite 3300
Vicksburg, MS 39183-8246
Phone (601) 638-3447

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R865418MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Oncology Associates CurrentSince Dec 1, 2008 Accepting new patients
Jackson Oncology Associates CurrentSince Dec 1, 2008 Accepting new patients

Locations

2969 Curran Dr N
Ste 200
Jackson, MS 39216
Phone (601) 974-5600

1227 N State St
Ste 101
Jackson, MS 39202
Phone (601) 355-2485

2200 Highway 61 N
Ste 3300
Vicksburg, MS 39183
Phone (601) 638-3447

Interoperability endpoints

  • Direct secure messaging: lbrent149163@direct.bmhcc.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1992958169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 N STATE ST",
            "address_2": "STE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022002",
            "telephone_number": "601-355-2485",
            "fax_number": "601-353-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 N STATE ST",
            "address_2": "STE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022002",
            "telephone_number": "601-355-2485",
            "fax_number": "601-353-1463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Highway 61 N Ste 3300",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391838246",
            "country_code": "US",
            "telephone_number": "601-638-3447",
            "fax_number": "601-630-9227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2969 Curran Dr N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164121",
            "country_code": "US",
            "telephone_number": "601-974-5600",
            "fax_number": "601-974-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENT",
        "first_name": "LORI",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08234791",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmagee@joncology.oncoemrdirect.com",
            "affiliation": "N",
            "address_1": "1227 N State St",
            "address_2": "Ste 101",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392022002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.