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G. V. SONNY MONTGOMERY VA MEDICAL CENTER
NPI 1093170730
Military Hospital - Military General Acute Care Hospital in Jackson, MS

Active since December 23, 2015
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471(601) 368-4089 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About G. V. Sonny Montgomery Va Medical Center NPPES

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

G. V. SONNY MONTGOMERY VA MEDICAL CENTER (NPI 1093170730) is a healthcare organization registered as a military general acute care hospital in Jackson, Mississippi and active in the NPI registry since December 2015. The organization lists Andree Burnett, Chief Of Primary Care Services, as its authorized official.

NPPES Registry Identity

NPI1093170730
Entity TypeOrganization
Primary Taxonomy2865M2000X
Legal Business NameG. V. SONNY MONTGOMERY VA MEDICAL CENTER
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing Address1500 E Woodrow Wilson AveJackson, MS 39216-5116 · (601) 362-4471 · Fax (601) 368-4089
Phone(601) 362-4471
Fax(601) 368-4089
Organization SubpartNo
Authorized OfficialAndree BurnettChief Of Primary Care Services · (601) 362-4471
Enumeration DateDecember 23, 2015
✔ NPI 1093170730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Hospital · Military General Acute Care HospitalHospitals
Taxonomy Code2865M2000X
License✔ Licensed in MS · 901359
Definition
A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items.
1500 E WOODROW WILSON AVE, Jackson, MS 39216
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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.

MELISSA ALLENE GRAIG RN
Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
DR. ELIZABETH NOSEN PH.D.
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
WHITNEY ROWELL GERBER
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1352
MS. SANDRA TERRY-TURNER RPH
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MR. GLENN D SHAW R.PH.
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1555
MRS. ANGELA A. CAUSEY MS, RD
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
SONNY MONTGOMERY V A M EDICAL CENTER
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MRS. MOLLY WILLIS HOKE LCSW
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 352-4471

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 G. V. Sonny Montgomery VA Medical Center's NPI number?

The NPI number for G. V. Sonny Montgomery VA Medical Center is 1093170730. It was assigned to this organization in the NPPES registry on December 23, 2015.

Where is G. V. Sonny Montgomery VA Medical Center located?

G. V. Sonny Montgomery VA Medical Center is located at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is G. V. Sonny Montgomery VA Medical Center's specialty?

The primary specialty registered for this NPI is Military Hospital, specializing in Military General Acute Care Hospital, with taxonomy code 2865M2000X.

When was this NPI record last updated?

The NPPES record for G. V. Sonny Montgomery VA Medical Center was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.