MRS. JESSICA BRADDOCK CHILDS AGNP
NPI 1467095869
Nurse Practitioner - Adult Health in Tupelo, MS

Active since October 18, 2019PECOS Enrolled
1265 CLIFF GOOKIN BLVD, TUPELO, MS 38801(662) 407-2544(662) 620-9915 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2022, Oct 18, 2019 (2 updates tracked since 2019).

About Mrs. Jessica Braddock Childs Agnp NPPES

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

MRS. JESSICA BRADDOCK CHILDS AGNP (NPI 1467095869) is an individual adult health provider in Tupelo, Mississippi, licensed in Mississippi (905426) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tupelo.

NPPES Registry Identity

NPI1467095869
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. JESSICA BRADDOCK CHILDSCredential: AGNP
Location Address1265 CLIFF GOOKIN BLVDTupelo, MS 38801-6749
Mailing Address1265 Cliff Gookin BlvdTupelo, MS 38801-6749 · (662) 407-2544 · Fax (662) 620-9915
Fax(662) 620-9915
Sole ProprietorYes
Enumeration DateOctober 18, 2019
Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration
NPPES CertifiedOctober 14, 2022
NPI 1467095869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MS · 905426
Also ListedRegistered NurseTaxonomy 163W00000X · License R874853 (MS)
1265 CLIFF GOOKIN BLVD, Tupelo, MS 38801

Other Names 1

Former Name (1)Miss Jessica Michelle Braddock Rn

Secondary Practice Location 1

Location 14566 S Eason BlvdTupelo, MS 38801-6540 · Phone (662) 377-4920 ext. 4729

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Jessica Braddock Childs Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 37

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
801 services551 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
318 services246 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
243 services206 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
243 services206 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
226 services52 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
162 services134 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Nurse Practitioner (Family)
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Family Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Internal Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Clinic/Center (Adult Mental Health)
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Family Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Internal Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Internal Medicine
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801

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 Jessica Childs's NPI number?

The NPI number for Jessica Childs is 1467095869. It was assigned to this individual provider in the NPPES registry on October 18, 2019. The provider is also known as Miss Jessica Michelle Braddock Rn.

Where is Jessica Childs located?

Jessica Childs practices at 1265 Cliff Gookin Blvd, Tupelo, MS 38801. The listed phone number is (662) 407-2544.

What is Jessica Childs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jessica Childs enrolled in Medicare?

Yes. Jessica Childs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Childs was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.