CENTRAL MISSISSIPPI HEALTH SERVICES, INC
NPI 1003470758
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, MS
About Central Mississippi Health Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL MISSISSIPPI HEALTH SERVICES, INC (NPI 1003470758) is a healthcare organization registered as a federally qualified health center (fqhc) in Jackson, Mississippi and active in the NPI registry since April 2019. The organization holds 2 active CLIA laboratory certificates and lists Terry Johnson, Human Resource Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Mississippi Health Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Central Mississippi Health Services, Inc, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D0677943
Central Mississippi Health Services · Jackson, MSCertificate for Provider-Performed Microscopy Procedures (PPMP) 25D1026903
Central Mississippi Health Services · Jackson, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Central Mississippi Health Services, Inc's NPI number?
The NPI number for Central Mississippi Health Services, Inc is 1003470758. It was assigned to this organization in the NPPES registry on April 29, 2019.
Where is Central Mississippi Health Services, Inc located?
Central Mississippi Health Services, Inc is located at 3450 Highway 80 W Ste 71, Jackson, MS 39209. The listed phone number is (601) 321-2400.
What is Central Mississippi Health Services, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Central Mississippi Health Services, Inc enrolled in Medicare?
Yes. Central Mississippi Health Services, Inc is registered in the Medicare PECOS enrollment system.
When is Central Mississippi Health Services, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Central Mississippi Health Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to Central Mississippi Health Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Family Practice (4) and Internal Medicine (2). Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Central Mississippi Health Services, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Central Mississippi Health Services, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Central Mississippi Health Services, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Central Mississippi Health Services, Inc was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Central Mississippi Health Services, Inc · NPI 1003470758
Federally Qualified Health Center (FQHC) organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since April 29, 2019.
## Identity
- **NPI:** 1003470758 (Entity type: Organization)
- **Enumerated:** April 29, 2019
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of Central Mississippi Health Services, Inc)
- **Authorized official:** Terry Johnson, HUMAN RESOURCE MANAGER
## Practice location
- **Address:** 3450 HIGHWAY 80 W STE 71, Jackson, MS 39209-7201
- **Phone:** (601) 321-2400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (4), Internal Medicine (2); 15 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003470758) · Data from the CMS NPPES public registry.