NPIMap

Organization Active NPI

Jefferson Comprehensive Health Center, Inc.

Doing business as School-Based Clinic Adams

  • Federally Qualified Health Center (FQHC)
  • Natchez, MS
National Provider Identifier
1295037372
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.
Doing business as
School-Based Clinic Adams
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
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Mrs. Katrina Thompson
Title
Cheif Executive Officer
Phone
(601) 786-3475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MS Primary

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 1

  • School-Based Clinic Adams Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295037372. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Oct 19, 1982 in MS
Enrollment address
101 Cottage Home Dr
Natchez, MS 39120-2753

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Johnny B Bills MD6 organizations share this tax ID, including this one
Part of
Johnny B Bills MD

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Jones Individual Corporate OfficerBoard Member May 14, 1998
Corporate DirectorBoard Member May 14, 1998
Mary B. Taylor Individual Corporate OfficerBoard Member Dec 13, 2007
Corporate DirectorBoard Member Dec 13, 2007
James Walker Individual Corporate OfficerBoard Member Jan 11, 1996
Corporate DirectorBoard Member Jan 11, 1996
Dorothy Chambliss Individual Corporate OfficerFinance Director Feb 1, 1996
Corporate DirectorFinance Director Feb 1, 1996
W-2 Managing EmployeeFinance Director Feb 1, 1996
Everett Sanders Individual Corporate OfficerBoard Member Dec 10, 2009
Corporate DirectorBoard Member Dec 10, 2009
Linda Coffie Individual Corporate OfficerBoard Member Jan 11, 1996
Corporate DirectorBoard Member Jan 11, 1996
Thelma Gales Individual Corporate OfficerBoard Member Oct 9, 1997
Corporate DirectorBoard Member Oct 9, 1997
Regina Reed Individual Corporate OfficerBoard Member Jan 1, 1992
Corporate DirectorBoard Member Jan 1, 1992
Shirley a. Ellis-Stampley Individual Corporate OfficerCeo Feb 1, 1996
Corporate DirectorCeo Feb 1, 1996
W-2 Managing EmployeeCeo Feb 1, 1996
Katrina M Collins Individual W-2 Managing EmployeeHuman Resources Director Sep 23, 2013

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1295037372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "390690098",
            "telephone_number": "601-786-3475",
            "fax_number": "601-786-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N. DR. MLK JR. STREET",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203157",
            "telephone_number": "601-786-3475",
            "fax_number": "601-786-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.",
        "enumeration_date": "2010-11-23",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "601-786-3475",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "School-Based Clinic Adams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.