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JONATHAN DERICK DODDS APRN PMHNP-BC
NPI 1417744046
Nurse Practitioner - Psychiatric/Mental Health in Rienzi, MS

Active since April 25, 2025PECOS Enrolled
38 COUNTY ROAD 8200, RIENZI, MS 38865(662) 808-4957 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Derick Dodds Aprn Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN DERICK DODDS APRN PMHNP-BC (NPI 1417744046) is an individual psychiatric/mental health provider in Rienzi, Mississippi, licensed in Mississippi (907369) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417744046
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJONATHAN DERICK DODDSCredential: APRN PMHNP-BC
Location Address38 COUNTY ROAD 8200Rienzi, MS 38865-9302
Mailing Address38 County Road 8200Rienzi, MS 38865-9302 · (662) 808-4957
Phone(662) 808-4957
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 25, 2025
NPPES CertifiedApril 11, 2025
✔ NPI 1417744046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 907369
38 COUNTY ROAD 8200, Rienzi, MS 38865
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Derick Dodds Aprn Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072012350
PECOS Enrollment IDI20250814002631
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38865 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Dodds's NPI number?

The NPI number for Jonathan Dodds is 1417744046. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Jonathan Dodds located?

Jonathan Dodds practices at 38 County Road 8200, Rienzi, MS 38865. The listed phone number is (662) 808-4957.

What is Jonathan Dodds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Dodds enrolled in Medicare?

Yes. Jonathan Dodds is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Dodds accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Jonathan Dodds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Dodds was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.