Journeycare Medical, LLC
NPI 1245170885ActiveOrganization· Nurse Practitioner, Primary Care· Jackson, MS
Nurse Practitioner, Primary Care in Jackson, Mississippi, registered in NPPES in April 2026. The authorized official on file is Shantrice Bernice Nichols-Bates, DNP-C, Ceo/Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245170885 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2026 |
| Last updated in NPPES | Apr 22, 2026 |
| Certified by provider | Apr 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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