Active NPI
University of Mississippi Medical Center
- Orthopaedic Surgery Physician
- Jackson, MS
National Provider Identifier
1609679240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - NPI assigned
- Mar 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Jordan Melancon, MD
- Title
- Resident Physician
- Phone
- (225) 439-8343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
320 Main St
Patterson, LA 70392-4320
National Provider Directory
National Provider Directory- Tax ID family
- University of Mississippi Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Jackson, MS
- NPI 1518760156
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Jackson, MS
- NPI 1124821764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743206400000",
"number": "1609679240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 MAIN ST",
"city": "PATTERSON",
"state": "LA",
"postal_code": "703924320"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-29",
"last_updated": "2025-03-29",
"certification_date": "2025-03-29",
"status": "A",
"authorized_official_last_name": "MELANCON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JORDAN",
"authorized_official_title_or_position": "RESIDENT PHYSICIAN",
"authorized_official_telephone_number": "225-439-8343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- University of Mississippi Medical Center
- University of Mississippi Medical Center
- University of Mississippi Medical Center
- University of Mississippi Medical Center
- University of Mississippi Medical Center
- University of Mississippi Medical Center
- University of Mississippi Medical Center
- University of Mississippi Medical Center
- University of Mississppi Medical Center
- University Ophthalmology Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.