Active NPI
Ms Pathology Associates, PA
- Clinical Medical Laboratory
- Jackson, MS
National Provider Identifier
1649238882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MS PATHOLOGY ASSOCIATES, PA
- Practice address
- 1225 N State St
Jackson, MS 39202-2064 - Phone
- (601) 968-3070
- Fax
- (601) 974-6286
- NPI assigned
- May 3, 2006
- 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. James Cavett, M.D
- Title
- Lab
- Phone
- (601) 968-3070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | MS | Primary |
Addresses
Primary practice location
1225 N State St
Jackson, MS 39202-2064
Mailing address
PO Box 2153
Dept. 1950
Birmingham, AL 35287
Phone (601) 944-1717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014369 | Medicaid | MS | |
| P00063565 | Other | MS | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1649238882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153",
"address_2": "DEPT. 1950",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35287",
"telephone_number": "601-944-1717",
"fax_number": "601-944-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022064",
"telephone_number": "601-968-3070",
"fax_number": "601-974-6286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MS PATHOLOGY ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CAVETT",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "LAB",
"authorized_official_telephone_number": "601-968-3070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09014369",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00063565",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.