Greater Jackson Physician Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GREATER JACKSON PHYSICIAN GROUP

Practice address

501 Marshall St Ste 501
Jackson, MS 39202-1615

Phone

(601) 968-0985

Fax

(601) 960-0583

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Linda M Swilley

Title

Owner

Phone

(601) 968-0985

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Greater Jackson Physician Group, LLC Doing business as

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1487067328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST STE 501",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021615",
            "telephone_number": "601-899-3990",
            "fax_number": "601-960-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST STE 501",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021615",
            "telephone_number": "601-968-0985",
            "fax_number": "601-960-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER JACKSON PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "SWILLEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-968-0985",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06373834",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Jackson Physician Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rica Miller Gray, LPC, NCC, CRC
• Sandra Gray, RDH
• Tracey Grayer, NURSE PRACTITIONER
• Destiny Grear
• Greater Jackson OBGYN LLC
• Green Behavioral Services, LLC
• Green Case Management Services
• Amy Green
• Anthony Green
• April Lakeshia Green, NP

• Obstetrics & Gynecology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.