MILLICENT PAIGE SUTTLAR
NPI 1508458191
Case Manager/Care Coordinator in Jackson, MS

Q: What is Millicent Suttlar's NPI number?

The NPI number for Millicent Suttlar is 1508458191. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Q: What is Millicent Suttlar's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Millicent Suttlar was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 05, 2021

460 BRIARWOOD DR STE 510, JACKSON, MS 39206(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Millicent Paige Suttlar NPPES

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

MILLICENT PAIGE SUTTLAR (NPI 1508458191) is an individual case manager/care coordinator provider in Jackson, Mississippi and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1508458191

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMILLICENT PAIGE SUTTLAR

Location Address460 BRIARWOOD DR STE 510Jackson, MS 39206-3057

Mailing Address460 Briarwood Dr Ste 510Jackson, MS 39206-3057 · (601) 956-4816 · Fax (601) 956-4817

Phone(601) 956-4816

Fax(601) 956-4817

Sole ProprietorNo

Enumeration DateFebruary 5, 2021

NPPES CertifiedFebruary 5, 2021

✔ NPI 1508458191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

460 BRIARWOOD DR STE 510, Jackson, MS 39206

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Other Identifiers 1

Medicaid01670076MS

Other Providers at the Same Location NPPES 20

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

MARSHEA COOPER

Case Manager/Care Coordinator