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JACKSON PSYCHIATRY GROUP
NPI 1790087393
Nurse Practitioner - Psychiatric/Mental Health in Ridgeland, MS

Active since December 02, 2010
201 NORTHLAKE AVE, RIDGELAND, MS 39157(601) 366-4696(601) 414-9486 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Psychiatry Group NPPES

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

JACKSON PSYCHIATRY GROUP (NPI 1790087393) is a healthcare organization registered as a psychiatric/mental health in Ridgeland, Mississippi and active in the NPI registry since December 2010. The organization lists Douglas W. Byrd, Owner, as its authorized official.

NPPES Registry Identity

NPI1790087393
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJACKSON PSYCHIATRY GROUP
Location Address201 NORTHLAKE AVERidgeland, MS 39157-1715
Mailing Address201 Northlake AveRidgeland, MS 39157-1715 · (601) 366-4696 · Fax (601) 414-9486
Phone(601) 366-4696
Fax(601) 414-9486
Organization SubpartNo
Authorized OfficialDouglas W. ByrdOwner · (601) 366-4696
Enumeration DateDecember 2, 2010
Last NPPES UpdateJune 19, 2025
✔ NPI 1790087393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
201 NORTHLAKE AVE, Ridgeland, MS 39157
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES

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

RACHEL GRETE DONOVAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
201 NORTHLAKE AVE
RIDGELAND, MS 39157
Madison County (601) 366-4696

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 Jackson Psychiatry Group's NPI number?

The NPI number for Jackson Psychiatry Group is 1790087393. It was assigned to this organization in the NPPES registry on December 2, 2010.

Where is Jackson Psychiatry Group located?

Jackson Psychiatry Group is located at 201 Northlake Ave, Ridgeland, MS 39157. The listed phone number is (601) 366-4696.

What is Jackson Psychiatry Group's specialty?

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

What insurance does Jackson Psychiatry Group accept?

Health plans from Molina Healthcare list Jackson Psychiatry Group 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 Jackson Psychiatry Group was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.