Organization Active NPI

Global Treatment Clinic of Jackson LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MS
National Provider Identifier
1033455852
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
R854233 Issued in MS
Legal business name
GLOBAL TREATMENT CLINIC OF JACKSON LLC
Practice address
2460 Terry Rd
Suite 800
Jackson, MS 39204-5767
Phone
(601) 373-1766
Fax
(601) 373-1767
NPI assigned
Dec 26, 2012
Last updated
Jun 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Alanna Jillian Wright, NPNPI 1073840021
Title
Nurse Practitioner
Phone
(601) 665-7256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X R854233 MS
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X R854233 MS Primary

Addresses

Primary practice location

2460 Terry Rd
Suite 800
Jackson, MS 39204-5767

Mailing address

2460 Terry Rd
Suite 800
Jackson, MS 39204-5767
Phone (601) 665-7256

Other identifiers 2

IdentifierTypeStateIssuer
251290930AOtherMSBLUE CROSS BLUE SHIELD OF MISSISSIPPI
30250I2670OtherMSMEDICARE PTAN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130404000538 MS Part B Supplier - Clinic/Group Practice 7416192919 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

Locations

1860 Chadwick Dr
Ste 202
Jackson, MS 39204
Phone (601) 373-1766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1033455852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD",
            "address_2": "SUITE 800",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767",
            "telephone_number": "601-665-7256",
            "fax_number": "601-373-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD",
            "address_2": "SUITE 800",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767",
            "telephone_number": "601-373-1766",
            "fax_number": "601-373-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL TREATMENT CLINIC OF JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ALANNA",
        "authorized_official_middle_name": "JILLIAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-665-7256",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MS",
            "license": "R854233",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": "R854233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MISSISSIPPI",
            "identifier": "251290930A",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN#",
            "identifier": "30250I2670",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.