TRAVAUGHN WILSON
NPI 1902452154
Case Manager/Care Coordinator in Jackson, MS
NPI Status: Active since August 14, 2019
Contact Information
460 BRIARWOOD DR STE 510
JACKSON, MS
ZIP 39206
Phone: (601) 956-4816
Fax: (601) 956-4817
- Individual
- Male
- Case Manager/Care Coordinator
About TRAVAUGHN WILSON
This page provides the complete NPI Profile along with additional information for Travaughn Wilson, a provider established in Jackson, Mississippi with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1902452154 assigned on August 2019. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1902452154
- Provider Name
- TRAVAUGHN WILSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 460 BRIARWOOD DR STE 510 JACKSON, MS 39206
- Location Phone
- (601) 956-4816
- Location Fax
- (601) 956-4817
- Mailing Address
- 460 BRIARWOOD DR STE 510 JACKSON, MS 39206
- Mailing Phone
- (601) 956-4816
- Mailing Fax
- (601) 956-4817
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-14-2019
- Last Update Date
- 08-14-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01670076 | MEDICAID (05) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 0 | 2 | 4 | 5 | 2 | 1 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 8 | 5 | 4 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 8 + 5 + 4 + 1 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1902452154 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194248906 | ERIC KNOX Individual | Counselor (Mental Health) | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1811411531 | BRITTANY NICOLE JONES Individual | Counselor (Mental Health) | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1841715075 | SHUTELLIA JACKSON Individual | Counselor (Mental Health) | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1013429042 | MARION COUNSELING SERVICES, PLLC Organization | Counselor (Mental Health) | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1548777428 | EARL BUCKHANAN Individual | Community Health Worker | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1932616612 | JASON DOUGLAS TERRY Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1548740566 | BRANDI HINTON Individual | Counselor (Mental Health) | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1487134417 | PATRICK LEE Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1003396052 | MARSHEA COOPER Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1174003107 | ERICA JENKINS Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1033699905 | DONTRICE TYLER Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1962984021 | LAKEISHA DAVIS Individual | Counselor (Mental Health) | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1164904249 | JAMMAYETTE WASHINGTON Individual | Counselor (Mental Health) | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1063983344 | MASHARA S COOK Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1306491394 | TALMADGE EDWARDS Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1518512599 | ANJELICA LEE BILBRO Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1942855788 | WILLIE HILLIARD III Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1730734542 | ELAINE ARCHIE MAYE Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1386299105 | DE'NESHIA COLEMAN Individual | Case Manager/Care Coordinator | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
| 1770138422 | CHARLA HORHN Individual | Counselor (Mental Health) | 460 BRIARWOOD DR STE 510 JACKSON, MS 39206 (601) 956-4816 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902452154, enumerated in the NPI registry as an "individual" on August 14, 2019
The provider is located at 460 Briarwood Dr Ste 510 Jackson, Ms 39206 and the phone number is (601) 956-4816
The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 14, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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