Jefferson Comprehensive Health Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Natchez, MS
NPI 1295037372 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1295037372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.
- Practice address
- 1221 N. Dr. MLK Jr. Street
Natchez, MS 39120-3157 - Phone
- (601) 786-3475
- Fax
- (601) 786-9980
- NPI assigned
- Nov 23, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.
Authorized official
- Name
- Mrs. Katrina Thompson
- Title
- Cheif Executive Officer
- Phone
- (601) 786-3475
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 5
Practitioners 10
-
Sharonda Rogers, NURSE PRACTITIONER
-
Ronald M Frye, MD
-
Crystal S Cook, CFNP
-
Priscilla Jackson, CFNP
-
Jermonique King, NP
-
April Layne Mitchell, PMHNP
-
Lakeitha Hamberlin Turner, FNP-BC
-
Kenitra Wallace, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS
Federally qualified health center certification: CCN 251007
- Legal name
- JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 8, 2011
- Last certification
- Mar 8, 2011
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 19, 1982 in MS
- Enrollment address
- 101 Cottage Home Dr
Natchez, MS 39120-2753
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| James Jones |
Corporate Officer |
May 14, 1998 | |
| Corporate Director |
May 14, 1998 | ||
| Mary B. Taylor |
Corporate Officer |
Dec 13, 2007 | |
| Corporate Director |
Dec 13, 2007 | ||
| James Walker |
Corporate Officer |
Jan 11, 1996 | |
| Corporate Director |
Jan 11, 1996 | ||
| Dorothy Chambliss |
Corporate Officer |
Feb 1, 1996 | |
| Corporate Director |
Feb 1, 1996 | ||
| W-2 Managing Employee |
Feb 1, 1996 | ||
| Everett Sanders |
Corporate Officer |
Dec 10, 2009 | |
| Corporate Director |
Dec 10, 2009 | ||
| Linda Coffie |
Corporate Officer |
Jan 11, 1996 | |
| Corporate Director |
Jan 11, 1996 | ||
| Thelma Gales |
Corporate Officer |
Oct 9, 1997 | |
| Corporate Director |
Oct 9, 1997 | ||
| Regina Reed |
Corporate Officer |
Jan 1, 1992 | |
| Corporate Director |
Jan 1, 1992 | ||
| Shirley a. Ellis-Stampley |
Corporate Officer |
Feb 1, 1996 | |
| Corporate Director |
Feb 1, 1996 | ||
| W-2 Managing Employee |
Feb 1, 1996 | ||
| Katrina M Collins |
W-2 Managing Employee |
Sep 23, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110215000618 | MS | Part a Provider - Federally Qualified Health Center (FQHC) | 0345248100 | Practice locations: Natchez, MS |
| O20140416001171 | MS | Part B Supplier - Clinic/Group Practice | 0345248100 |
Receives reassigned benefits from 9 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fayette, MS; Natchez, MS |
National Provider Directory
- Tax ID family
- Natchez Highmiddle School C
- Part of
- Natchez Highmiddle School C
Locations
1221 N Mlk
Natchez, MS 39120
Phone (601) 442-7676
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | MS | Yes |
Addresses
Primary practice location
1221 N. Dr. MLK Jr. Street
Natchez, MS 39120-3157
Mailing address
PO Box 98
Fayette, MS 39069-0098
Phone (601) 786-3475
Other names
- School-Based Clinic Adams
Other providers in Natchez, MS
- Mary James
- Jay H. Schwartz, M.D., P.a.
- Harold A Jefcoat
- Jefferson Comprehensive Health Center, Inc.
- Jefferson Comprehensive Health Center, Inc.
- Jefferson Comprehensive Health Center, Inc.
- Jefferson Comprehensive Health Center, Inc.
- Jefferson Comprehensive Health Center, Inc.
- Courtney Jeffus
- Kellen Travis Jex
All providers in Natchez, MS · Federally Qualified Health Center (FQHC) in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.