Organization Active NPI

Mississippi Infusion Services LLC

  • Infusion Therapy Clinic/Center
  • Jackson, MS
National Provider Identifier
1851101612
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
MISSISSIPPI INFUSION SERVICES LLC
Practice address
1190 N State St Ste 101
Jackson, MS 39202-2478
Phone
(601) 345-4525
Fax
(601) 345-4535
NPI assigned
Jan 13, 2025
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Wendell R Helveston, MDNPI 1881607158
Title
Owner
Phone
(601) 345-4525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1190 N State St Ste 101
Jackson, MS 39202-2478

Mailing address

1190 N State St Ste 101
Jackson, MS 39202-2478
Phone (601) 345-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250314001026 MS Part B Supplier - Clinic/Group Practice 7911429311 Receives reassigned benefits from 3 practitioners
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

Locations

1190 N State St
Ste 300
Jackson, MS 39202
Phone (601) 345-4525

2525 Lakeward Dr
Ste 100B
Jackson, MS 39216

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": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1851101612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST STE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022478",
            "telephone_number": "601-345-4525",
            "fax_number": "601-345-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST STE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022478",
            "telephone_number": "601-345-4525",
            "fax_number": "601-345-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI INFUSION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "HELVESTON",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-345-4525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.