Jackson Surgical Group PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

06450 Issued in MS

Legal business name

JACKSON SURGICAL GROUP PA

Practice address

1190 N State St
Suite L01
Jackson, MS 39202-2413

Phone

(601) 292-4292

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Austin Frederick Parker II, MD

Title

General Surgeon

Phone

(601) 946-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Morris, PA-C

  • Surgical Physician Assistant
  • Jackson, MS
  • NPI 1104283068
  NPD (past)
• Edward E Rigdon, MD

  • Vascular Surgery Physician
  • Brandon, MS
  • NPI 1427073386
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1861674723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N STATE ST",
            "address_2": "SUITE 400",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021689",
            "telephone_number": "601-944-1717",
            "fax_number": "601-944-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST",
            "address_2": "SUITE L01",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022413",
            "telephone_number": "601-292-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON SURGICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "601-946-2200",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "06450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013125",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Pulmonary Associates, PA
• Jackson Radiology Assoc, PA
• Jackson Rehab and Wellness Center
• Jackson State University
• Jackson State University
• Jackson Thyroid & Endocrine Clinic PLLC
• Jackson VA Medical Center
• Jackson Vamc
• Jackson Vamc
• Jackson Vamc

• Surgery Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.