CENTRAL MISSISSIPPI HEALTH SERVICES, INC. (NPI# 1073069498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073069498 |
| Entity Type | Organization |
| Organization Name | CENTRAL MISSISSIPPI HEALTH SERVICES, INC. |
| Practice Address |
1134 Winter St Jackson MS 39204-2841 |
| Practice Telephone | 6019485572 |
| Practice Fax Number | 6019143012 |
| Mailing Telephone | 6019485572 |
| Mailing Fax Number | 6019143012 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | DR. ROBERT SMITH (CEO) |
| Authorized Official Telephone | 6019485572 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | MS | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356483283 | Central Mississippi Health Services, Inc. | Internal Medicine | 5429 Robinson Road Ext, Jackson, MS 39204-4138 | 2007-02-14 |
| Street Address |
1134 WINTER ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144281262 | Michael Reese Johnson | Family Medicine | 1134 Winter St, Jackson, MS 39204-2841 | 2006-03-29 |
| 1215560545 | Chinnika Latrice Crisler | Social Worker | 1134 Winter St, Jackson, MS 39204-2841 | 2020-02-14 |
| 1912471939 | Zipora Martin-brown | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2019-01-12 |
| 1538697453 | Trevalla Kaye Lindsey | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2017-05-23 |
| 1982001632 | Catina Shavon Butler | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2014-11-24 |
| 1376948075 | Shaquita Shaw | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2014-10-24 |
| 1427458819 | Latoya P. Johnson | Physician Assistant | 1134 Winter St, Jackson, MS 39204-2841 | 2014-09-04 |
| 1578739934 | Otrie Bertrelle Hickerson | Community Health Worker | 1134 Winter St, Jackson, MS 39204-2841 | 2008-05-06 |
| 1568598027 | Ericka M Micou | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2007-02-26 |
| 1851321384 | Obie M. Mcnair | Internal Medicine | 1134 Winter St, Jackson, MS 39204-2841 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235361577 | Medical Billing Strategies, LLC | Preferred Provider Organization | 2180 Scanlon Dr, Jackson, MS 39204-4461 | 2009-08-20 |
| 1942392717 | Mooreco | Preferred Provider Organization | 1700 Terry Rd, Jackson, MS 39204-3907 | 2006-09-29 |
| 1407129836 | Bertrand Antoine | Preferred Provider Organization | 5451 Robinson Road Ext, Jackson, MS 39204-4138 | 2012-02-15 |
| 1760472450 | Health Partners | Preferred Provider Organization | 1804 Highway 45 Byp, Suite 400, Jackson, TN 38305-4436 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609581 | Reconnect Wellnes Pascagoula LLC | Preferred Provider Organization | 4211 Hospital St Ste 114, Pascagoula, MS 39581-5320 | 2018-05-10 |
| 1912436981 | Reconnect Wellness Winona LLC | Preferred Provider Organization | 100 N Front St Ste A, Winona, MS 38967-2220 | 2017-06-05 |
| 1396286456 | Reconnect Wellness Bruce LLC | Preferred Provider Organization | 131 Public Square, Bruce, MS 38915 | 2017-03-09 |
| 1932648367 | Reconnect Wellness Laurel, LLC | Preferred Provider Organization | 910 Sawmill Rd Ste D29, Laurel, MS 39440-3961 | 2017-02-17 |
| 1598219511 | Love and Patience | Preferred Provider Organization | 14199 Ballentine Rd, Sardis, MS 38666-5416 | 2016-08-08 |
| 1790158293 | Jbchiro1 LLC | Preferred Provider Organization | 11516 Lamey Bridge Rd, Suite E, Diberville, MS 39540-2725 | 2015-11-05 |
| 1750725297 | New Covenant Daycare | Preferred Provider Organization | 960 Highway 4 E, Holly Springs, MS 38635-2145 | 2013-04-27 |
| 1033454459 | Precious Hands Personal Care LLC | Preferred Provider Organization | 169 Rankin Rd, Columbia, MS 39429-3715 | 2012-12-11 |
| 1558613505 | Doddsville Adult Day Care | Preferred Provider Organization | 133 Miller, Doddsville, MS 38736-8736 | 2012-10-15 |
| 1184941676 | Oncall Medical Clinic, Pllc | Preferred Provider Organization | 3091 Bienville Blvd, Ocean Springs, MS 39564-4308 | 2010-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.