Active NPI
Alexander Velazquez
- Surgery Physician
- Jackson, MS
National Provider Identifier
1184487811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- T-6190
- Practice address
- 849 Fairview St
Jackson, MS 39202-1627 - Phone
- (601) 415-2619
- NPI assigned
- Feb 5, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | T-6190 | MS | Primary |
Addresses
Primary practice location
849 Fairview St
Jackson, MS 39202-1627
Mailing address
203 Lyon Tree Way
Vicksburg, MS 39180-5820
Phone (601) 415-2619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1184487811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 LYON TREE WAY",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391805820",
"telephone_number": "601-415-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 FAIRVIEW ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392021627",
"telephone_number": "601-415-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-05",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "T-6190",
"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 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.