BAPTIST NUTRITION CLINIC
NPI 1518238807
Nutritionist - Nutrition, Education in Jackson, MS

Active since January 19, 2012
1190 N STATE ST, SUITE 204, JACKSON, MS 39202(601) 944-1717(601) 944-9780 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Baptist Nutrition Clinic NPPES

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

BAPTIST NUTRITION CLINIC (NPI 1518238807) is a healthcare organization registered as a nutrition, education in Jackson, Mississippi and active in the NPI registry since January 2012. The organization lists Amy Grissett, Director, as its authorized official.

NPPES Registry Identity

NPI1518238807
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameBAPTIST NUTRITION CLINIC
Location Address1190 N STATE ST, SUITE 204Jackson, MS 39202-2413
Mailing Address1190 N State St, Suite 204Jackson, MS 39202-2413 · (601) 944-1717 · Fax (601) 944-9780
Fax(601) 944-9780
Organization SubpartNo
Authorized OfficialAmy GrissettDirector · (601) 944-1717
Enumeration DateJanuary 19, 2012
✔ NPI 1518238807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
1190 N STATE ST, Jackson, MS 39202

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baptist Nutrition Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

423

Medicare enrollment records show 423 clinicians reassign Medicare billing to Baptist Nutrition Clinic, which bills Medicare for the services they deliver. Of these, 57 practice at this address and 277 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Nurse Practitioner123
Internal Medicine55
Family Practice36
Psychiatry29
Certified Registered Nurse Anesthetist (CRNA)28
Diagnostic Radiology26
Physical Therapist in Private Practice17
Cardiovascular Disease (Cardiology)12
28 other specialties97

Nearest to this location (20)

See all 423
Internal Medicine
NPI 1770794695
1190 N STATE ST STE 204
Jackson, MS 39202
(601) 973-1624
✔ PECOSSame address
Nurse Practitioner
NPI 1295704989
1190 N STATE ST LOWER LEVEL
Jackson, MS 39202
(601) 968-1377
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1356928246
1190 N STATE ST STE 403
Jackson, MS 39202
(769) 268-6770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356805345
1190 N STATE ST STE 204
Jackson, MS 39202
(601) 973-1624
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1366937989
1200 N STATE ST STE 270
Jackson, MS 39202
(601) 714-6470
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1265640577
1200 N STATE ST SUITE 500
Jackson, MS 39202
(601) 352-2273
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1508328170
1200 N STATE ST STE 270
Jackson, MS 39202
(601) 714-6470
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1629448899
1200 N STATE ST STE 210
Jackson, MS 39202
(601) 714-3202
✔ Accepts MedicareSame address
Infectious Disease
NPI 1346311982
1200 N STATE ST SUITE 500
Jackson, MS 39202
(601) 352-2273
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1386621936
1200 N STATE ST STE LL-10
Jackson, MS 39202
(601) 362-7280
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1316297500
1200 N STATE ST STE 210
Jackson, MS 39202
(601) 714-3202
✔ Accepts MedicareSame address
Neurosurgery
NPI 1407173453
1200 N STATE ST STE 420
Jackson, MS 39202
(601) 355-3353
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1356638845
1200 N STATE ST SUITE 500
Jackson, MS 39202
(601) 352-2273
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1043263122
1200 N STATE ST SUITE 500
Jackson, MS 39202
(601) 352-2273
✔ Accepts MedicareSame address
Neurology
NPI 1790040533
1200 N STATE ST STE 420
Jackson, MS 39202
(601) 355-3353
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1073000394
1200 N STATE ST STE 500
Jackson, MS 39202
(601) 352-2273
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1598734808
1200 N STATE ST STE 180
Jackson, MS 39202
(601) 414-0484
✔ PECOSSame address
Geriatric Medicine
NPI 1467071167
1200 N STATE ST STE 500
Jackson, MS 39202
(601) 352-2273
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1760564660
1200 N STATE ST STE 500
Jackson, MS 39202
(601) 352-2273
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1396156394
1151 N STATE ST STE 404
Jackson, MS 39202
(601) 292-4261
✔ PECOS✔ Accepts MedicareSame address
See all 423 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Baptist Nutrition Clinic's NPI number?

The NPI number for Baptist Nutrition Clinic is 1518238807. It was assigned to this organization in the NPPES registry on January 19, 2012.

Where is Baptist Nutrition Clinic located?

Baptist Nutrition Clinic is located at 1190 N State St Suite 204, Jackson, MS 39202. The listed phone number is (601) 944-1717.

What is Baptist Nutrition Clinic's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

Is Baptist Nutrition Clinic enrolled in Medicare?

Yes. Baptist Nutrition Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baptist Nutrition Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 423 clinicians in 36 Medicare specialties reassign their Medicare billing to Baptist Nutrition Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (123), Internal Medicine (55) and Family Practice (36). Of these, 57 practice at this address and 277 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Baptist Nutrition Clinic was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.