Jackiedees Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JACKIEDEES TRANSPORTATION

Practice address

4543 Sandlewood Dr
Jackson, MS 39212-3412

Phone

(225) 746-3370

NPI assigned

Sep 22, 2022

Last updated

Sep 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darnell DouglasNPI 1609599851

Title

Owner

Phone

(225) 746-3370

Specialties & licenses 3

Addresses

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.

• Darnell Douglas

  • Basic Emergency Medical Technician
  • Jackson, MS
  • NPI 1609599851
  NPD Authorized official

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1942923107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 SANDLEWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123412",
            "telephone_number": "225-746-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 SANDLEWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123412",
            "telephone_number": "225-746-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIEDEES TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-746-3370"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinenye Ogoma Iwuchukwu, M.D
• Rathi V Iyer, M.D.
• J & R Optical (Odom's Optical)
• Elizabeth Jabaley, MD
• Roya Jaberian Doraji, DO
• Jackson Anesthesia Associates PA
• Jackson Anesthesia Pain Center, LLC
• Jackson Asthma & Allergy Center, PA
• Jackson Autism Center
• Jackson Bone and Joint

• Non-emergency Medical Transport (VAN) in Jackson, MS
• Providers in Jackson, MS by specialty
• Non-emergency Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.