Active NPI
Och Family Practice Ackerman
Doing business as Parsons Family Medical Clinic
- Primary Care Clinic/Center
- Ackerman, MS
National Provider Identifier
1114189644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 11-269
- Legal business name
- OCH FAMILY PRACTICE ACKERMAN
- Doing business as
- Parsons Family Medical Clinic
- Practice address
- 356 E Cherry St
Ackerman, MS 39735-9794 - Phone
- (662) 285-3243
- Fax
- (662) 285-3613
- NPI assigned
- Jun 26, 2008
- Last updated
- Oct 3, 2022
- Organization subpart
- Yes
- Parent organization
- OKTIBBEHA COUNTY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James H. Jackson Jr.
- Title
- Ceo
- Phone
- (662) 615-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 11-269 | MS | Primary |
Addresses
Primary practice location
356 E Cherry St
Ackerman, MS 39735-9794
Mailing address
PO Box 1327
Starkville, MS 39760-1327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09409725 | Medicaid | MS |
Other names 1
- Parsons Family Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Oktibbeha Co Hosp Ort
Locations
356 W Cherry St
Ackerman, MS 39735
Phone (662) 285-3243
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Ackerman, MS
- NPI 1679183610
-
- Family Medicine Physician
- Ackerman, MS
- NPI 1821051756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1114189644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1327",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397601327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 E CHERRY ST",
"city": "ACKERMAN",
"state": "MS",
"postal_code": "397359794",
"telephone_number": "662-285-3243",
"fax_number": "662-285-3613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCH FAMILY PRACTICE ACKERMAN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OKTIBBEHA COUNTY HOSPITAL",
"enumeration_date": "2008-06-26",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "662-615-2500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MS",
"license": "11-269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09409725",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Parsons Family Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ackerman, MS
- Ms Eye Care PA (Mississippi Eye Care Ackerman)
- Corey Murphy
- Rushaunda Nash, FNP
- North Mississippi Foot Specialists PC
- North Mississippi Medical Clinics Inc (Ackerman Medical Clinic)
- Sharon Olive, MS
- Elizabeth Oredein
- Prentiss Parsons, M.D.
- Shailesh V Patel, M.D.
- Pioneer Health Services of Choctaw County, LLC (Pioneer Family Medical of Ackerman)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.