Organization Active NPI

Jcep,PLLC,

  • Family Medicine Physician
  • Jackson, MS
National Provider Identifier
1780887133
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
08027 Issued in MS
Legal business name
JCEP,PLLC,
Practice address
2147 Henry Hill Dr
Suite 109
Jackson, MS 39204-2001
Phone
(601) 923-6200
Fax
(601) 923-9111
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Olufemi Olusola Okunoren, M.D.
Title
Medical Director
Phone
(601) 923-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 08027 MS Primary

Addresses

Primary practice location

2147 Henry Hill Dr
Suite 109
Jackson, MS 39204-2001

Mailing address

PO Box 1992
Madison, MS 39130-1992
Phone (601) 923-6200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1780887133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1992",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391301992",
            "telephone_number": "601-923-6200",
            "fax_number": "601-923-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 HENRY HILL DR",
            "address_2": "SUITE 109",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042001",
            "telephone_number": "601-923-6200",
            "fax_number": "601-923-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCEP,PLLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "OKUNOREN",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_middle_name": "OLUSOLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-923-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "08027",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 22, 2007; 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.