NPIMap

Organization Active NPI

Kemet Health One LLC

  • Multi-Specialty Clinic/Center
  • Jackson, MS
National Provider Identifier
1235811951
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KEMET HEALTH ONE LLC
Practice address
317 E Capitol St Ste 200
Jackson, MS 39201-3405
Phone
(703) 256-1600
NPI assigned
Aug 2, 2023
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KEMET HEALTH ONE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Andrew Schneck
Title
Coo
Phone
(703) 256-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

317 E Capitol St Ste 200
Jackson, MS 39201-3405

Mailing address

169 Madison Ave # 11841
New York, NY 10016-5101
Phone (703) 256-1600

Other names 1

  • Kemet Health Jackson Other name

National Provider Directory

National Provider Directory
Tax ID family
Kemet Health One LLC14 organizations share this tax ID, including this one
Part of
Kemet Health One LLC

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1235811951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE # 11841",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "703-256-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E CAPITOL ST STE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392013405",
            "telephone_number": "703-256-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMET HEALTH ONE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEMET HEALTH ONE LLC",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "SCHNECK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "703-256-1600"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kemet Health Jackson",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kemet Health Jackson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 19, 2024; 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.