Individual provider Active NPI

Pawel T Pomianowski, M.D.

  • Clinical Genetics (M.D.) Physician
  • Jackson, MS
National Provider Identifier
1659586352
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
31957 Issued in MS
Practice address
2500 North State St
Jackson, MS 39216-4500
Phone
(601) 815-1710
Fax
(601) 496-9882
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT187544 PA
Clinical Genetics (M.D.) Physician 207SG0201X 31957 MS Primary
Clinical Genetics (M.D.) Physician 207SG0201X C1-0013700 DE
Internal Medicine Physician 207R00000X C1-0013700 DE
Clinical Genetics (M.D.) Physician 207SG0201X 046150 CT

Addresses

Primary practice location

2500 North State St
Jackson, MS 39216-4500

Mailing address

2500 North State St
Jackson, MS 39216
Phone (601) 815-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080429000207 CT Practitioner - Internal Medicine 5496833634 Reassigns benefits to 2 organizations
I20231027002968 MS Practitioner - Medical Genetics and GenomicsPractitioner - Internal Medicine 5496833634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and GenomicsAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

350 W Woodrow Wilson Dr
Cancer Institute
Jackson, MS 39213
Phone (601) 815-2005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT187544PAMDInternal Medicine Physician
046150CTMDClinical Genetics (M.D.) Physician
C1-0013700DEMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Nov 23, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Starling Physicians, PLLC Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Nov 23, 2023 Accepting new patients
Starling Physicians PLLC CurrentSince Oct 1, 2016 Accepting new patients
Gaylord Hospital, Inc. PastSince Sep 8, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

2110 Silas Deane Hwy
Rocky Hill, CT 06067

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666

326 Commerce Center Dr
Ste 3300
Ridgeland, MS 39157

Interoperability endpoints

  • Direct secure messaging: ppomianowski196263@ummc.direct-ci.com
  • Direct secure messaging: ppomianowski4279@direct.ynhh.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1659586352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-815-1710",
            "fax_number": "601-496-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-1710",
            "fax_number": "601-496-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMIANOWSKI",
        "first_name": "PAWEL",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT187544",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MS",
            "license": "31957",
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "DE",
            "license": "C1-0013700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0013700",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CT",
            "license": "046150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.