Organization Active NPI

Jackson Psychiatry Group

Doing business as PMT Clinic

  • Psychiatry Physician
  • Ridgeland, MS
National Provider Identifier
1629378971
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JACKSON PSYCHIATRY GROUP
Doing business as
PMT Clinic
Practice address
201 Northlake Ave Ste 207
Ridgeland, MS 39157-1715
Phone
(601) 366-4696
Fax
(601) 414-9486
NPI assigned
Nov 2, 2010
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Dr. Douglas W Byrd, MDNPI 1477679736
Title
Owner
Phone
(601) 366-4696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X 15999 MS
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

201 Northlake Ave Ste 207
Ridgeland, MS 39157-1715

Mailing address

201 Northlake Ave Ste 207
Ridgeland, MS 39157-1715
Phone (601) 366-4696

Other names 1

  • PMT Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

201 Northlake Ave
Ste 207
Ridgeland, MS 39157
Phone (601) 366-4696

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1629378971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NORTHLAKE AVE STE 207",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571715",
            "telephone_number": "601-366-4696",
            "fax_number": "601-414-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NORTHLAKE AVE STE 207",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571715",
            "telephone_number": "601-366-4696",
            "fax_number": "601-414-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PSYCHIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-366-4696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MS",
            "license": "15999",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMT Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.