NPIMap

Organization Active NPI

Jackson Public School District

  • Local Education Agency (LEA)
  • Jackson, MS
National Provider Identifier
1487983573
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
JACKSON PUBLIC SCHOOL DISTRICT
Practice address
621 S State St
Jackson, MS 39201-5612
Phone
(601) 960-8522
Fax
(601) 973-8663
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Mr. Michael N/a Thomas
Title
Deputy Superintendent
Phone
(601) 960-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

621 S State St
Jackson, MS 39201-5612

Mailing address

621 S State St
Jackson, MS 39201-5612
Phone (601) 960-8522

Other identifiers 1

IdentifierTypeStateIssuer
09016157MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Jackson Public School District13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

621 S State St
Jackson, MS 39201
Phone (601) 960-8522

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1487983573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392015612",
            "telephone_number": "601-960-8522",
            "fax_number": "601-973-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392015612",
            "telephone_number": "601-960-8522",
            "fax_number": "601-973-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PUBLIC SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "DEPUTY SUPERINTENDENT",
        "authorized_official_telephone_number": "601-960-8522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016157",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 2009; 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.