JOURNEYCARE MEDICAL, LLC
NPI 1245170885
Nurse Practitioner - Primary Care in Jackson, MS

NPI Status: Active since April 01, 2026

Contact Information

350 W WOODROW WILSON AVE STE 1010
JACKSON, MS
ZIP 39213
Phone: (601) 376-8019

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  • Organization
  • Nurse Practitioner
  • Primary Care

About JOURNEYCARE MEDICAL, LLC

This page provides the complete NPI Profile along with additional information for Journeycare Medical, Llc, a provider established in Jackson, Mississippi operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1245170885 assigned on April 2026. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated April 2026. Journeycare Medical, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Shantrice Bernice Nichols-bates Dnp-c (Ceo/medical Director)

NPI
1245170885
Provider Name
JOURNEYCARE MEDICAL, LLC
Entity Type
Organization
Location Address
350 W WOODROW WILSON AVE STE 1010 JACKSON, MS 39213
Location Phone
(601) 376-8019
Mailing Address
123A HIGHWAY 80 E PMB# 140 CLINTON, MS 39056
Mailing Phone
(769) 366-2659
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2026
Last Update Date
04-22-2026
Code Navigator

A nurse practitioner (NP) like Journeycare Medical, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SHANTRICE BERNICE NICHOLS-BATES DNP-C

Authorized Official Title
CEO/MEDICAL DIRECTOR
Authorized Official Phone
(769) 366-2659

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245170885, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 1 → 2 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 2 + 7 + 0 + 8 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1245170885.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
350 W WOODROW WILSON AVE STE 1010
JACKSON, MS 39213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245170885, enumerated as an "organization" on April 01, 2026.

The provider is located at 350 W WOODROW WILSON AVE STE 1010 JACKSON, MS 39213 and the phone number is (601) 376-8019.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.