UNIVERSITY FAMILY MEDICINE ASSOCIATES, PLLC
NPI 1093913634
Clinic/Center in Jackson, MS

Active since July 05, 2007
1410 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 984-5404(601) 815-3771 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Family Medicine Associates, Pllc NPPES

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

UNIVERSITY FAMILY MEDICINE ASSOCIATES, PLLC (NPI 1093913634) is a healthcare organization registered as a clinic/center in Jackson, Mississippi and active in the NPI registry since July 2007. The organization lists Diane Beebe, Chairman, as its authorized official.

NPPES Registry Identity

NPI1093913634
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameUNIVERSITY FAMILY MEDICINE ASSOCIATES, PLLC
Location Address1410 E WOODROW WILSON AVEJackson, MS 39216-5114
Mailing AddressPo Box 4999Jackson, MS 39296-4999 · (601) 984-5404 · Fax (601) 815-3771
Fax(601) 815-3771
Organization SubpartNo
Authorized OfficialDiane BeebeChairman · (601) 984-5404
Enumeration DateJuly 5, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1093913634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1410 E WOODROW WILSON AVE, Jackson, MS 39216

Other Identifiers 2

Medicaid09014106MS
Medicaid09014130MS

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Orthopaedic Surgery (Hand Surgery)
1410 E WOODROW WILSON AVE, STE D
JACKSON, MS 39216
Emergency Medicine (Sports Medicine)
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Orthopaedic Surgery (Orthopaedic Trauma)
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Urology
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Physical Medicine & Rehabilitation
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Nurse Practitioner
1410 E WOODROW WILSON AVE
JACKSON, MS 39216

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 Family Medicine Associates, PLLC's NPI number?

The NPI number for University Family Medicine Associates, PLLC is 1093913634. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is University Family Medicine Associates, PLLC located?

University Family Medicine Associates, PLLC is located at 1410 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 984-5404.

What is University Family Medicine Associates, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for University Family Medicine Associates, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.