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JACKSON ONCOLOGY ASSOCIATES, PLLC
NPI 1023147204
Internal Medicine - Hematology & Oncology in Vicksburg, MS

Active since March 05, 2007CLIA Certified · 2 labs
2200 HIGHWAY 61 N STE 3300, VICKSBURG, MS 39183(601) 638-3447(601) 630-9227 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2021, Sep 16, 2020, Nov 15, 2017 (3 updates tracked since 2017).

About Jackson Oncology Associates, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON ONCOLOGY ASSOCIATES, PLLC (NPI 1023147204) is a healthcare organization registered as a hematology & oncology in Vicksburg, Mississippi and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Kim Ward, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1023147204
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameJACKSON ONCOLOGY ASSOCIATES, PLLC
Location Address2200 HIGHWAY 61 N STE 3300Vicksburg, MS 39183-8246
Mailing Address1227 N State St Ste 101Jackson, MS 39202-2002 · (601) 355-2485 · Fax (601) 353-1463
Phone(601) 638-3447
Fax(601) 630-9227
Organization SubpartYes
Authorized OfficialKim WardChief Operations Officer · (601) 974-5513
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 9, 20213 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1023147204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2200 HIGHWAY 61 N STE 3300, Vicksburg, MS 39183
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Other Identifiers 1

Medicaid03330910MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Compliance 25D0911922

Jackson Oncology Associates-Vicksburg · Vicksburg, MS
Active · expires Apr 17, 2028
CLIA Number25D0911922
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorDr. Elizabeth L. Herrington
Laboratory Phone(601) 638-3447
Laboratory LocationJackson Oncology Associates-Vicksburg2200 Hwy 61 N Ste 3300, Vicksburg, MS 39183
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 25D0673115

Jackson Oncology Associates · Jackson, MS
Active · expires Jun 21, 2027
CLIA Number25D0673115
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorDr. Justin T. Baker
Laboratory Phone(601) 974-5525
Laboratory LocationJackson Oncology Associates1227 North State St Ste 101, Jackson, MS 39202
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently 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 Jackson Oncology Associates, PLLC's NPI number?

The NPI number for Jackson Oncology Associates, PLLC is 1023147204. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Jackson Oncology Associates, PLLC located?

Jackson Oncology Associates, PLLC is located at 2200 Highway 61 N Ste 3300, Vicksburg, MS 39183. The listed phone number is (601) 638-3447.

What is Jackson Oncology Associates, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Jackson Oncology Associates, PLLC 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.

When was this NPI record last updated?

The NPPES record for Jackson Oncology Associates, PLLC was last updated on November 9, 2021. 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.