NPIMap

Individual provider Active NPI

Jose Alfredo Sosa, PA-C

  • Surgical Physician Assistant
  • Ridgeland, MS
National Provider Identifier
1508881822
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA00039 Issued in MS
Practice address
7048 Old Canton Rd Ste 2E
Ridgeland, MS 39157-1021
Phone
(601) 992-9790
Fax
(601) 992-9796
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA3654 FL
Surgical Physician Assistant 363AS0400X PA00039 MS Primary

Addresses

Primary practice location

7048 Old Canton Rd Ste 2E
Ridgeland, MS 39157-1021

Mailing address

7048 Old Canton Rd Ste 2E
Ridgeland, MS 39157-1021
Phone (601) 992-9790

Other identifiers 2

IdentifierTypeStateIssuer
08478237MedicaidMS
347887903OtherTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000147 MS Practitioner - Physician Assistant 1456241678 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Consultants LLCGroup PAC ID 9830496314, 19 clinicians

Practice addresses (Care Compare)

108 Four Lane Hwy 49
Bentonia, MS 39040-9433
Phone (662) 998-8900

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3654FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Healthcare LLC CurrentSince Dec 16, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 8, 2021 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Jun 30, 2008 Accepting new patients
Vicksburg Clinic LLC CurrentSince Dec 16, 2025 Accepting new patients
Mississippi Hma Hospitalists, LLC CurrentSince Dec 16, 2025 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Dec 16, 2025 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Sep 8, 2021 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jun 30, 2008 Accepting new patients
Total Healthcare Solutions LLC PastSince Jun 1, 2018 Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

501 Marshall St
Ste 104
Jackson, MS 39202
Phone (601) 973-4541

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271

Interoperability endpoints

  • Direct secure messaging: jsosa163576@ummc.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southern Medical Consultants LLCBentonia, MS, CCN A53847 Rural health clinic Contracted Managing Employee (50%)
5% Or Greater Direct Ownership Interest (50%)		 Apr 1, 2024
Apr 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1508881822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD STE 2E",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571021",
            "telephone_number": "601-992-9790",
            "fax_number": "601-992-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD STE 2E",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571021",
            "telephone_number": "601-992-9790",
            "fax_number": "601-992-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "JOSE",
        "middle_name": "ALFREDO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3654",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MS",
            "license": "PA00039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08478237",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "347887903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.