JACKSON HMA LLC (NPI# 1730550914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730550914 |
| Entity Type | Organization |
| Organization Name | JACKSON HMA LLC |
| Other Organization Name | CMMC WOUND MANAGEMENT |
| Practice Address |
1850 Chadwick Dr Jackson MS 39204-3404 |
| Practice Telephone | 6013762561 |
| Practice Fax Number | 6013762570 |
| Mailing Telephone | 6013762561 |
| Mailing Fax Number | 6013762570 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MICHAEL SWAW (DIRECTOR) |
| Authorized Official Telephone | 6157788076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| CMMC WOUND MANAGEMENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345991 | Jackson Hma LLC | Clinical Medical Laboratory | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-04-21 |
| 1912945775 | Jackson Hma LLC | Psychiatric Unit | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2006-06-03 |
| 1033163092 | Jackson Hma LLC | General Acute Care Hospital | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2006-05-22 |
| Street Address |
1850 CHADWICK DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969724 | Steven E Zachow | Radiology | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2005-06-01 |
| 1346847274 | Devon Allred | Specialist/Technologist, Other | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-10-05 |
| 1194345991 | Jackson Hma LLC | Clinical Medical Laboratory | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-04-21 |
| 1174166383 | Amanda Brittany Busch | Nurse Practitioner | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-10-21 |
| 1184183725 | Mary Arnetta Sangster | Spec/Tech, Cardiovascular | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-03-13 |
| 1265904593 | Matthew Burkhalter | Physician Assistant | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-27 |
| 1023580693 | John Tyler Mclendon | Nurse Anesthetist, Certified Registered | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-20 |
| 1720562820 | Caleb Creel | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-09-24 |
| 1508346222 | Veronica Barton | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-08-21 |
| 1730687740 | App of Mississippi Ed, LLC | Emergency Medicine | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-01-24 |
| 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 | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861402133 | Yvette Glenn | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861691701 | Daniel Evan Koehlinger | Registered Nurse | 246 County Road 302, Burnsville, MS 38833-9248 | 2007-07-11 |
| 1336706803 | South Sunflower County Hospital | Registered Nurse | 121 E Baker St, Indianola, MS 38751-2450 | 2019-05-21 |
| 1134543820 | Virginia Holmes | Registered Nurse | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2014-02-14 |
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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.