JESSICA CARSON
NPI 1972167278
Nurse Practitioner - Family in Canton, MS

Q: What is Jessica Carson's NPI number?

The NPI number for Jessica Carson is 1972167278. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Q: What is Jessica Carson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Carson was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 23, 2019PECOS Enrolled

1668 W PEACE ST, CANTON, MS 39046(601) 859-5213 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Carson NPPES

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

JESSICA CARSON (NPI 1972167278) is an individual family provider in Canton, Mississippi, licensed in Mississippi (903286) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972167278

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA CARSON

Location Address1668 W PEACE STCanton, MS 39046-5332

Mailing Address467 E Center StCanton, MS 39046-3830 · (832) 791-9165

Phone(601) 859-5213

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 23, 2019

✔ NPI 1972167278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 903286

1668 W PEACE ST, Canton, MS 39046

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Carson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921332982

PECOS Enrollment IDI20190625001444

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39046 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 20

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

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