Organization Active NPI

John Elgin Wilkaitis, MD, Ms, PLLC

  • Child & Adolescent Psychiatry Physician
  • Flowood, MS
National Provider Identifier
1891136818
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
JOHN ELGIN WILKAITIS, MD, MS, PLLC
Practice address
3531 Lakeland Dr
Flowood, MS 39232-8049
Phone
(601) 829-4170
NPI assigned
Jul 8, 2013
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
John Elgin WilkaitisNPI 1154360824
Title
Member
Phone
(601) 829-4170

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
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

3531 Lakeland Dr
Flowood, MS 39232-8049

Mailing address

4500 I 55 Frontage Rd N Ste 234
Jackson, MS 39211-5932
Phone (601) 982-8531

Other practice location 1

4500 I 55 Frontage Rd N Ste 234
Jackson, MS 39211-5932
Phone (601) 982-8531

National Provider Directory

National Provider Directory
Tax ID family
Children's Psychiatric Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1891136818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 I 55 FRONTAGE RD N STE 234",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115932",
            "telephone_number": "601-982-8531",
            "fax_number": "601-982-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328049",
            "telephone_number": "601-829-4170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 I 55 Frontage Rd N Ste 234",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392115932",
            "country_code": "US",
            "telephone_number": "601-982-8531",
            "fax_number": "601-982-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN ELGIN WILKAITIS, MD, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "WILKAITIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ELGIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-829-4170"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.