Active NPI
Univ Prev Med Assocs PLLC
- Special Hospital
- Jackson, MS
National Provider Identifier
1447465067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- UNIV PREV MED ASSOCS PLLC
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 984-1925
- Fax
- (601) 984-1916
- NPI assigned
- May 14, 2007
- Last updated
- Jul 21, 2022
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY PHYSICIANS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Sara Stubbs
- Title
- Supervisor Billing and Collections
- Phone
- (601) 984-1925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | MS | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-1925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014153 | Medicaid | MS |
National Provider Directory
National Provider Directory- Part of
- University of Mississippi Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1447465067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-1925",
"fax_number": "601-984-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-1925",
"fax_number": "601-984-1916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIV PREV MED ASSOCS PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY PHYSICIANS",
"enumeration_date": "2007-05-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "STUBBS",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "SUPERVISOR BILLING AND COLLECTIONS",
"authorized_official_telephone_number": "601-984-1925",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09014153",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
- Eric Karl Undesser, MD, PHD
- Ricardo Ungo
- Unique Inc
- United Methodist Ministry With Children and Families, Inc. (Methodist Children's Homes, LLC)
- Univ OB/GYN Assoc.,PLLC
- University Anesthesia Services, PLLC
- University Emergency Physicians, PLLC
- University Emergency Physicians, PLLC
- University Family Medicine Associates, PLLC
- University Family Medicine Associates, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.