Four Corners Psychiatry PLLC
NPI 1790477636 · Psychiatry Physician · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Four Corners Psychiatry PLLC is a Psychiatry Physician organization in Jackson, MS (NPI 1790477636).
Provider details
- NPI number
- 1790477636
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jared Taylor, Sole Mbr(601) 946-9372
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-20
Frequently asked questions
- What is Four Corners Psychiatry PLLC's NPI number?
- Four Corners Psychiatry PLLC's National Provider Identifier (NPI) is 1790477636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Corners Psychiatry PLLC?
- Four Corners Psychiatry PLLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Four Corners Psychiatry PLLC located?
- Four Corners Psychiatry PLLC's practice location on file with NPPES is 1225 N State St, Jackson, MS 39202-2064.
- What is Four Corners Psychiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Four Corners Psychiatry PLLC is (601) 968-1031.
- Does Four Corners Psychiatry PLLC accept Medicare?
- Four Corners Psychiatry PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Four Corners Psychiatry PLLC?
- The authorized official listed on Four Corners Psychiatry PLLC's NPPES record is Jared Taylor, Sole Mbr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Corners Psychiatry PLLC's NPI active?
- Yes — Four Corners Psychiatry PLLC's NPI (1790477636) is active in the NPPES registry as of the last update on 2023-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.