NPIMap

Organization Active NPI

Medical Foundation of Central Mississippi, Inc

Doing business as Jackson Neurosurgery & Spine Assoc

  • Family Medicine Physician
  • Jackson, MS
National Provider Identifier
1841413432
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC
Doing business as
Jackson Neurosurgery & Spine Assoc
Practice address
1200 N State St
Suite 440
Jackson, MS 39202-2001
Phone
(601) 969-5230
Fax
(601) 969-5233
NPI assigned
Apr 11, 2007
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Elizabeth H Mullins
Title
Director of Clinic Administration
Phone
(601) 292-4261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1200 N State St
Suite 440
Jackson, MS 39202-2001

Mailing address

1200 N State St
Suite 440
Jackson, MS 39202-2001
Phone (601) 969-5230

Other identifiers 1

IdentifierTypeStateIssuer
C02783MedicaidMS

Other names 1

  • Jackson Neurosurgery & Spine Assoc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist PT - Madison43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

1200 N State St
Ste 440
Jackson, MS 39202
Phone (601) 969-5230

823 Grand Ave
Fl 2
Yazoo City, MS 39194

Practitioners & affiliated clinicians

Practitioners 5

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1841413432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "SUITE 440",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022001",
            "telephone_number": "601-969-5230",
            "fax_number": "601-969-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "SUITE 440",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022001",
            "telephone_number": "601-969-5230",
            "fax_number": "601-969-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC ADMINISTRATION",
        "authorized_official_telephone_number": "601-292-4261"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C02783",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Neurosurgery & Spine Assoc",
            "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 Jul 9, 2013; 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.