Active NPI
Tammy Irby
- Clinical Social Worker
- Jackson, MS
National Provider Identifier
1134546294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1190 N State St
Suite 301
Jackson, MS 39202-2413 - Phone
- (769) 233-8239
- Fax
- (601) 944-9780
- NPI assigned
- Mar 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1190 N State St
Suite 301
Jackson, MS 39202-2413
Mailing address
PO Box 94
Mendenhall, MS 39114-0094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hinds County Mental Health Comission | Current | Accepting new patients | |
| Jackson Bone and Joint | Past | Accepting new patients | |
| Wintrigg LLC | Past | Accepting new patients | |
| Pathway Healthcare-Louisiana, LLC | Past | Accepting new patients |
Locations
3450 Highway 80 W
Jackson, MS 39209
Phone (601) 321-2400
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MS
- NPI 1205853652
-
- Orthopaedic Surgery Physician
- Jackson, MS
- NPI 1831360510
-
- Community/Behavioral Health Agency
- Flowood, MS
- NPI 1942591730
-
- Addiction Medicine (Internal Medicine) Physician
- Jefferson, LA
- NPI 1295391837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1134546294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94",
"city": "MENDENHALL",
"state": "MS",
"postal_code": "391140094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 N STATE ST",
"address_2": "SUITE 301",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022413",
"telephone_number": "769-233-8239",
"fax_number": "601-944-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRBY",
"first_name": "TAMMY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.