NATHAN DEAR FOXWORTH
NPI 1861298358
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since February 24, 2025PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-5012 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathan Dear Foxworth NPPES

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

NATHAN DEAR FOXWORTH (NPI 1861298358) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861298358
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN DEAR FOXWORTH
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500
Sole ProprietorNo
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
NPI 1861298358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 N STATE ST, Jackson, MS 39216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nathan Dear Foxworth 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.

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Nathan Foxworth's NPI number?

The NPI number for Nathan Foxworth is 1861298358. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Nathan Foxworth located?

Nathan Foxworth practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5012.

What is Nathan Foxworth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Foxworth enrolled in Medicare?

Yes. Nathan Foxworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Foxworth was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.