UMMC
NPI 1043549280
Psychologist - Counseling in Jackson, MS

Active since December 17, 2009CLIA Certified · 8 labs
2500 N STATE ST # H819-01, JACKSON, MS 39216(601) 984-5957 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ummc NPPES

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

UMMC (NPI 1043549280) is a healthcare organization registered as a counseling in Jackson, Mississippi and active in the NPI registry since December 2009. The organization holds 8 active CLIA laboratory certificates and lists Keith Gran, Ceo For University Physician, as its authorized official.

NPPES Registry Identity

NPI1043549280
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameUNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address2500 N STATE ST # H819-01Jackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5957
Organization SubpartNo
Authorized OfficialKeith GranCeo For University Physician · (601) 815-4775
Enumeration DateDecember 17, 2009
Last NPPES UpdateOctober 25, 2010
NPI 1043549280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in MS · 49850
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedPsychologistTaxonomy 103T00000X · License 22061 (CA)
2500 N STATE ST # H819-01, Jackson, MS 39216

Other Names 1

Other NameUmmc

Other Identifiers 1

Medicare PIN302I689512MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 9

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 25D1086613

Ummc - Aric Research Study · Jackson, MS
Active · expires Jul 15, 2028
CLIA Number25D1086613
Laboratory TypeOther
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorKenneth Butler
Laboratory Phone(601) 984-6649
Laboratory LocationUmmc - Aric Research Study2500 North State Street Office Annex 2, Jackson, MS 39216
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 25D0662889

Ummc - Tissue Typing Lab · Jackson, MS
Active · expires Jun 30, 2028
CLIA Number25D0662889
Laboratory TypeHospital
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorVenkat Mannam
Laboratory Phone(601) 984-2351
Laboratory LocationUmmc - Tissue Typing Lab2500 N State St, Jackson, MS 39216
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 25D2035068

Ummc - University Hospitals And Health Systems Poc · Jackson, MS
Active · expires Jun 21, 2028
CLIA Number25D2035068
Laboratory TypeHospital
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorDr. John T. Lam
Laboratory Phone(601) 984-2351
Laboratory LocationUmmc - University Hospitals And Health Systems Poc2500 North State Street, Jackson, MS 39216
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 25D2069976

Ummc - Infectious Disease Medicine · Jackson, MS
Active · expires Dec 8, 2027
CLIA Number25D2069976
Laboratory TypeHealth Fair
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorDr. James B. Brock
Laboratory Phone(601) 984-5560
Laboratory LocationUmmc - Infectious Disease Medicine2500 N State St N502, Jackson, MS 39216
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2140650

Ummc - Nephrology Research · Jackson, MS
Active · expires Nov 27, 2027
CLIA Number25D2140650
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorDivya Monga
Laboratory Phone(601) 984-5670
Laboratory LocationUmmc - Nephrology Research2500 North State Street L520, Jackson, MS 39216
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D0318430

Ummc - Midtown Mobile Clinic · Jackson, MS
Active · expires May 8, 2027
CLIA Number25D0318430
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorAnne Norwood
Laboratory Phone(601) 815-9654
Laboratory LocationUmmc - Midtown Mobile Clinic2500 N State St, Jackson, MS 39216
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 University Of Mississippi Medical Center's NPI number?

The NPI number for University Of Mississippi Medical Center is 1043549280. It was assigned to this organization in the NPPES registry on December 17, 2009. The provider is also known as Ummc.

Where is University Of Mississippi Medical Center located?

University Of Mississippi Medical Center is located at 2500 N State St # H819-01, Jackson, MS 39216. The listed phone number is (601) 984-5957.

What is University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Does University Of Mississippi Medical Center hold CLIA laboratory certificates?

Yes. 8 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 University Of Mississippi Medical Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Mississippi Medical Center 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 University Of Mississippi Medical Center was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.