GREENVILLE VA CLINIC
NPI 1043250418
Clinic/Center - VA in Greenville, MS

Q: What is Jackson Vamc's NPI number?

The NPI number for Jackson Vamc is 1043250418. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is also known as Greenville VA Clinic.

Q: What is Jackson Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Vamc was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 07, 2006

1651 HIGHWAY 1 S STE 1D, GREENVILLE, MS 38701(615) 355-3451 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Greenville Va Clinic NPPES

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

GREENVILLE VA CLINIC (NPI 1043250418) is a healthcare organization registered as a va in Greenville, Mississippi and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1043250418

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameJACKSON VAMC

Location Address1651 HIGHWAY 1 S STE 1DGreenville, MS 38701-7803

Mailing AddressPo Box 94497Cleveland, OH 44101-4497 · (615) 355-3451

Phone(615) 355-3451

Organization SubpartNo

Authorized OfficialErin PotterNpi Team Member · (202) 382-2579

Enumeration DateJune 7, 2006

Last NPPES UpdateOctober 20, 2022

NPPES CertifiedOctober 20, 2022

✔ NPI 1043250418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

1651 HIGHWAY 1 S STE 1D, Greenville, MS 38701

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Other Names 1

Other NameGreenville Va Clinic

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 Vamc's NPI number?

The NPI number for Jackson Vamc is 1043250418. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is also known as Greenville VA Clinic.

Where is Jackson Vamc located?

Jackson Vamc is located at 1651 Highway 1 S Ste 1D, Greenville, MS 38701. The listed phone number is (615) 355-3451.

What is Jackson Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Jackson Vamc was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.