Active NPI
Mary G Armstrong, M.D.
- Public Health & General Preventive Medicine Physician
- Jackson, MS
National Provider Identifier
1609937853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 11168
- Practice address
- 350 W Woodrow Wilson Ave
Jackson, MS 39213-7681 - Phone
- (601) 978-7864
- Fax
- (601) 956-5262
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11168 | MS | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 11168 | MS | Primary |
Addresses
Primary practice location
350 W Woodrow Wilson Ave
Jackson, MS 39213-7681
Mailing address
350 W Woodrow Wilson Ave
Jackson, MS 39213-7681
Phone (601) 978-7864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123684 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11168 | MS | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1609937853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W WOODROW WILSON AVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137681",
"telephone_number": "601-978-7864",
"fax_number": "601-956-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W WOODROW WILSON AVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137681",
"telephone_number": "601-978-7864",
"fax_number": "601-956-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "MARY",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "11168",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MS",
"license": "11168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123684",
"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 Sep 11, 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.