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JACKSON-HINDS COMPREHENSIVE HEALTH CENTER - PHYSICAL THERAPY
NPI 1033649058
Clinic/Center - Physical Therapy in Jackson, MS

Active since June 13, 2017CLIA Certified · 3 labs
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321 Get Directions Write a Review

NPPES record last updated: December 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2017, Jun 13, 2017 (2 updates tracked since 2017).

About Jackson-hinds Comprehensive Health Center - Physical Therapy NPPES

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

JACKSON-HINDS COMPREHENSIVE HEALTH CENTER - PHYSICAL THERAPY (NPI 1033649058) is a healthcare organization registered as a physical therapy in Jackson, Mississippi and active in the NPI registry since June 2017. The organization holds 3 active CLIA laboratory certificates and lists Jasmin Chapman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1033649058
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameCENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing Address3502 W Northside DrJackson, MS 39213-4454
Phone(601) 362-5321
Organization SubpartNo
Authorized OfficialJasmin ChapmanChief Executive Officer · (601) 364-5142
Enumeration DateJune 13, 2017
Last NPPES UpdateDecember 22, 20172 updates tracked since enumeration
✔ NPI 1033649058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3502 W NORTHSIDE DR, Jackson, MS 39213
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Other Names 2

Doing Business AsJackson-hinds Comprehensive Health Center - Physical Therapy
Doing Business AsGary Road Elementary

Other Identifiers 1

MedicaidPENDINGMS

CLIA Laboratory Certificates CMS CLIA 3

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 for Provider-Performed Microscopy Procedures (PPMP) 25D1012599

Jackson Hinds Comprehensive Health Center · Tougaloo, MS
Active · expires May 14, 2027
CLIA Number25D1012599
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorJasmin R. Chapman
Laboratory Phone(601) 362-5321
Laboratory LocationJackson Hinds Comprehensive Health Center600 West Countyline Road, Tougaloo, MS 39174
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D0995020

Jackson Hinds Comprehensive Health Copiah · Hazlehurst, MS
Active · expires Jun 7, 2027
CLIA Number25D0995020
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorLynda F. Jackson-Assad
Laboratory Phone(601) 364-5142
Laboratory LocationJackson Hinds Comprehensive Health Copiah550 Caldwell Drive, Hazlehurst, MS 39083
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2059376

Jackson-Hinds Comprehensive Hlth Cntr - Edwards · Edwards, MS
Active · expires May 20, 2027
CLIA Number25D2059376
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorLynda J. Assad
Laboratory Phone(601) 362-5321
Laboratory LocationJackson-Hinds Comprehensive Hlth Cntr - Edwards100 Magnolia Street, Edwards, MS 39066
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TIFFANI RICCHELE MCKNIGHT
Social Worker (Clinical)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
KATRICE PACLEY ANDREWS FNP-C
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ERICIA LATRICE CANNON NURSE PRACTITONER
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
JEQUETTA SHUREKA ILION MCLAURIN FNP
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CHAD ALLEN RHODEN MD
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ANNIE MCCLINE
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CANDICE COLEMAN NP-C
Nurse Practitioner (Adult Health)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
JALEEN SIMS M.D.
Obstetrics & Gynecology
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 364-5142

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 Central Mississippi Civic Improvement Association, Inc.'s NPI number?

The NPI number for Central Mississippi Civic Improvement Association, Inc. is 1033649058. It was assigned to this organization in the NPPES registry on June 13, 2017. The provider is doing business as Jackson-Hinds Comprehensive Health Center - Physical Therapy and Gary Road Elementary.

Where is Central Mississippi Civic Improvement Association, Inc. located?

Central Mississippi Civic Improvement Association, Inc. is located at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is Central Mississippi Civic Improvement Association, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Does Central Mississippi Civic Improvement Association, Inc. hold CLIA laboratory certificates?

Yes. 3 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 Central Mississippi Civic Improvement Association, Inc. was last updated on December 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.