Organization Active NPI

Central Ms Planning & Develpment District

  • Case Management Agency
  • Jackson, MS
National Provider Identifier
1043581614
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0770316 Issued in MS
Legal business name
CENTRAL MS PLANNING & DEVELPMENT DISTRICT
Practice address
1170 Lakeland Dr
Jackson, MS 39216-4701
Phone
(601) 981-1511
Fax
(601) 981-1515
NPI assigned
Jan 13, 2012
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Mr. F Clarke Holmes
Title
Chief Executive Officer
Phone
(601) 981-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0770316 MS Primary

Addresses

Primary practice location

1170 Lakeland Dr
Jackson, MS 39216-4701

Mailing address

1170 Lakeland Dr
Jackson, MS 39216-4701
Phone (601) 981-1511

Other identifiers 1

IdentifierTypeStateIssuer
0770316MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Central Ms Planning Dev District Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1170 Lakeland Dr
Jackson, MS 39216
Phone (601) 981-1511

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1043581614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164701",
            "telephone_number": "601-981-1511",
            "fax_number": "601-981-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164701",
            "telephone_number": "601-981-1511",
            "fax_number": "601-981-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MS PLANNING & DEVELPMENT DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "CLARKE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "601-981-1511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MS",
            "license": "0770316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0770316",
            "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 Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.