MS STATE DEPARTMENT OF HEALTH
NPI 1053489260
Community/Behavioral Health in Jackson, MS
About Ms State Department Of Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS STATE DEPARTMENT OF HEALTH (NPI 1053489260) is a healthcare organization registered as a community/behavioral health in Jackson, Mississippi and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Brandon and lists Miranda Hillman, Office Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms State Department Of Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
54Medicare enrollment records show 54 clinicians reassign Medicare billing to Ms State Department Of Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 54Jackson, MS 39216
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ms State Department Of Health's NPI number?
The NPI number for Ms State Department Of Health is 1053489260. It was assigned to this organization in the NPPES registry on December 4, 2006.
Where is Ms State Department Of Health located?
Ms State Department Of Health is located at 570 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 906-0879.
What is Ms State Department Of Health's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Ms State Department Of Health enrolled in Medicare?
Yes. Ms State Department Of Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ms State Department Of Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 9 Medicare specialties reassign their Medicare billing to Ms State Department Of Health. 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 (39), Internal Medicine (4) and Family Practice (3). Of these, 1 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ms State Department Of Health accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Ms State Department Of Health 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 Ms State Department Of Health was last updated on December 2, 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.
# Ms State Department Of Health · NPI 1053489260
Community/Behavioral Health organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since December 4, 2006.
## Identity
- **NPI:** 1053489260 (Entity type: Organization)
- **Enumerated:** December 4, 2006
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Miranda Hillman, OFFICE DIRECTOR
## Practice location
- **Address:** 570 E WOODROW WILSON AVE, Jackson, MS 39216-4538
- **Phone:** (601) 906-0879
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 54 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), Internal Medicine (4), Family Practice (3); 1 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1053489260/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053489260) · Data from the CMS NPPES public registry.