Organization Active NPI

Jackson Arthritis Clinic PA

  • Rheumatology Physician
  • Flowood, MS
National Provider Identifier
1699979914
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
JACKSON ARTHRITIS CLINIC PA
Practice address
4436 Mangum Dr.
Ste a
Flowood, MS 39232
Phone
(601) 982-7363
Fax
(601) 981-8672
NPI assigned
Jun 12, 2007
Last updated
Feb 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Dr. James K. Hensarling, MDNPI 1255334280
Title
Ceo
Phone
(601) 982-7363

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

4436 Mangum Dr.
Ste a
Flowood, MS 39232

Mailing address

4436 Mangum Dr.
Ste a
Flowood, MS 39232
Phone (601) 982-7363

National Provider Directory

National Provider Directory

Locations

4436 Mangum Dr
Ste A
Flowood, MS 39232
Phone (601) 932-7363

826R Lakeland Dr
Ste 100
Jackson, MS 39216
Phone (601) 982-7363

Practitioners & affiliated clinicians

Practitioners 2

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1699979914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 MANGUM DR.",
            "address_2": "STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-982-7363",
            "fax_number": "601-981-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 MANGUM DR.",
            "address_2": "STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-982-7363",
            "fax_number": "601-981-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ARTHRITIS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "HENSARLING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-982-7363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.