Active NPI
Jefferson Comprehensive Health Center Inc
- Federally Qualified Health Center (FQHC)
- Fayette, MS
National Provider Identifier
1891328480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- JEFFERSON COMPREHENSIVE HEALTH CENTER INC
- Practice address
- 405 Main St
Fayette, MS 39069-5576 - Phone
- (601) 786-3475
- Fax
- (601) 786-6320
- NPI assigned
- Feb 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Lowe
- Title
- Insurance Credentialing Specialist
- Phone
- (601) 786-3475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
405 Main St
Fayette, MS 39069-5576
Mailing address
PO Box 98
Fayette, MS 39069-0098
Phone (601) 786-3475
Other names 1
- Jefferson Comprehensive Health Center, Inc. Medical/Dental Mobile Unit
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781049600000",
"number": "1891328480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "FAYETTE",
"state": "MS",
"postal_code": "390690098",
"telephone_number": "601-786-3475",
"fax_number": "601-786-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MAIN ST",
"city": "FAYETTE",
"state": "MS",
"postal_code": "390695576",
"telephone_number": "601-786-3475",
"fax_number": "601-786-6320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON COMPREHENSIVE HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-21",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "INSURANCE CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "601-786-3475"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jefferson Comprehensive Health Center, Inc. Medical/Dental Mobile Unit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayette, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.