NPIMap

Organization Active NPI

Central Mississippi Civic Improvement Association, Inc.

Doing business as Jackson Hinds Comprehensive Health Center - The Pearl

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
National Provider Identifier
1659618106
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Doing business as
Jackson Hinds Comprehensive Health Center - The Pearl
Jackson-Hinds Central Mississippi Medical Center Site
Practice address
2649 Highway 80 W Ste 301B
Jackson, MS 39204-2237
Phone
(601) 362-5321
Fax
(601) 364-5159
NPI assigned
Jan 3, 2013
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Authorized official

Name
Dr. Jasmin ChapmanNPI 1811931363
Title
Chief Executive Officer
Phone
(601) 362-5321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2649 Highway 80 W Ste 301B
Jackson, MS 39204-2237

Mailing address

3502 W Northside Dr
Jackson, MS 39213-4454

Other names 2

  • Jackson Hinds Comprehensive Health Center - The Pearl Doing business as
  • Jackson-Hinds Central Mississippi Medical Center Site Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000125 MS Part B Supplier - Clinic/Group Practice 4183533235 Receives reassigned benefits from 70 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jackson, MS; Vicksburg, MS; Utica, MS; Edwards, MS; Hazlehurst, MS
O20130306000159 MS Part A Provider - Federally Qualified Health Center (FQHC) 4183533235 Practice locations: Jackson, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659618106. Details of each certification follow.

Federally qualified health center certification: CCN 251014

Legal name
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC
Doing business as
JACKSON-HINDS CENTRAL MISSISSIPPI MEDICAL CENTER SITE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 27, 2013
Last certification
Feb 27, 2013
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Oct 6, 1970 in MS
Enrollment address
2649 Highway 80 W
# 301B
Jackson, MS 39204-2216

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Appleton Intensivist Group46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jasmin O Chapman Individual Corporate Officer Dec 1, 2012
W-2 Managing Employee Dec 1, 2012
Ethel L Singleton Individual Corporate Officer Dec 1, 2012
Connie a Jones Individual Corporate Officer Dec 1, 2012
Lois C Christian Individual Corporate Officer Dec 1, 2012
John Marshall Lusk Individual Corporate Officer Apr 17, 2023
John Wicks Individual Corporate Officer Apr 17, 2023
Christopher Gray Individual Corporate Officer Apr 17, 2023
Frances a Frazier Individual Corporate Officer Dec 1, 2012
Lillie Ervin Individual Corporate Officer Aug 19, 1985
Heraclio Aguilar Individual Corporate Officer Apr 17, 2023
Larry D McMillian Individual Corporate Officer Apr 21, 1997
Mary Thompson Individual Corporate Officer Jul 18, 2022
Alberta Johnson Individual Corporate Officer Dec 1, 2012

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jackson-Hinds Comprehensive Health Center -School Based Health CenterJackson, MS, CCN 251029 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2012
Jackson-Hinds Comprehensive Health Center-Terry High School Based ClinTerry, MS, CCN 251028 Federally qualified health center 5% Or Greater Direct Ownership Interest Oct 1, 1972
Gary Road Intermediate SchoolByram, MS, CCN 251056 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 1, 2017
May 1, 2017
Jackson-Hinds Comprehensive Health CenterRaymond, MS, CCN 251084 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2019
Dec 1, 2012
Central Mississippi Civic Improvement Association, IncRaymond, MS, CCN 251086 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019

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": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1659618106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 W NORTHSIDE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 HIGHWAY 80 W STE 301B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042237",
            "telephone_number": "601-362-5321",
            "fax_number": "601-364-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "601-362-5321",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Hinds Comprehensive Health Center - The Pearl",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson-Hinds Central Mississippi Medical Center Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.