Organization Active NPI

Cassandra F Thomas

  • Medical Specialty Clinic/Center
  • Jackson, MS
National Provider Identifier
1710280557
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
13653 Issued in MS
Legal business name
CASSANDRA F THOMAS
Practice address
514C E Woodrow Wilson Ave
Jackson, MS 39216-4538
Phone
(601) 981-7198
Fax
(601) 981-6616
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Cassandra Faye Thomas, M.D.
Title
Owner
Phone
(601) 981-7198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 13653 MS Primary

Addresses

Primary practice location

514C E Woodrow Wilson Ave
Jackson, MS 39216-4538

Mailing address

514C E Woodrow Wilson Ave
Jackson, MS 39216-4538
Phone (601) 981-7198

Other names 1

  • Central Jackson Family Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

514C E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 981-7198

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1710280557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514C E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-981-7198",
            "fax_number": "601-981-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514C E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-981-7198",
            "fax_number": "601-981-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA F THOMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-981-7198",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "13653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Jackson Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 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.