NPIMap

Organization Active NPI

Maxillofacial Surgery Center of Central Mississippi

  • Specialist
  • Jackson, MS
National Provider Identifier
1609960749
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16896 Issued in MS
Legal business name
MAXILLOFACIAL SURGERY CENTER OF CENTRAL MISSISSIPPI
Practice address
266 Katherine Dr
Jackson, MS 39232-8801
Phone
(601) 420-3223
Fax
(601) 420-3054
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. J Joel Drummond, D.M.D., M.D.
Title
Co-Owner
Phone
(601) 420-3223

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 3119.00 MS
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 2820.94 MS
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 05.339.00 MS
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 05.340.00 MS
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 16843 MS
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 16896 MS Primary

Addresses

Primary practice location

266 Katherine Dr
Jackson, MS 39232-8801

Mailing address

266 Katherine Dr
Jackson, MS 39232-8801
Phone (601) 420-3223

Other identifiers 2

IdentifierTypeStateIssuer
00123548MedicaidMS
00123549MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609960749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 KATHERINE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392328801",
            "telephone_number": "601-420-3223",
            "fax_number": "601-420-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 KATHERINE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392328801",
            "telephone_number": "601-420-3223",
            "fax_number": "601-420-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXILLOFACIAL SURGERY CENTER OF CENTRAL MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "601-420-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "3119.00",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "2820.94",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "05.339.00",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "05.340.00",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "16843",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "16896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123548",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123549",
            "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.

Verify at the official NPI Registry.