Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nathan Tyler Ross, MHPP

Individual provider Clinical Neuropsychologist · NPI 1295150175

Mr. Nathan Tyler Ross, MHPP is a Clinical Psychologist in Jackson, Mississippi. Qualified in 2020, 6 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2014
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-2005
Fax: (601) 496-9452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 621124 (MS)

Record details

NPI number1295150175
Entity typeIndividual (Type 1)
GenderMale
Credentials MHPP
Sole proprietorYes
NPI enumeratedFebruary 28, 2014
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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