JACKSON EAR CLINIC PA
NPI 1093934002
Specialist in Flowood, MS
About Jackson Ear Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON EAR CLINIC PA (NPI 1093934002) is a healthcare organization registered as a specialist in Flowood, Mississippi and active in the NPI registry since April 2007. The organization lists Kathy Peeples, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 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)
Jackson Ear Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Jackson Ear Clinic PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Jackson Ear Clinic PA's NPI number?
The NPI number for Jackson Ear Clinic PA is 1093934002. It was assigned to this organization in the NPPES registry on April 25, 2007.
Where is Jackson Ear Clinic PA located?
Jackson Ear Clinic PA is located at 290 E Layfair Dr, Flowood, MS 39232. The listed phone number is (601) 981-2825.
What is Jackson Ear Clinic PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Jackson Ear Clinic PA enrolled in Medicare?
Yes. Jackson Ear Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Ear Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Jackson Ear Clinic PA. 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 Qualified Audiologist (3), Otolaryngology (2) and Nurse Practitioner (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jackson Ear Clinic PA 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 Jackson Ear Clinic PA 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 Jackson Ear Clinic PA was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jackson Ear Clinic Pa · NPI 1093934002
Specialist organization in Flowood, Mississippi. Organization record, active in the CMS NPPES registry since April 25, 2007.
## Identity
- **NPI:** 1093934002 (Entity type: Organization)
- **Enumerated:** April 25, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Kathy Peeples, OFFICE MANAGER
## Practice location
- **Address:** 290 E LAYFAIR DR, Flowood, MS 39232-9526
- **Phone:** (601) 981-2825 · **Fax:** (601) 981-2827
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Audiologist (3), Otolaryngology (2), Nurse Practitioner (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2020
- **Other identifiers:** Medicaid 04586854 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1093934002) · Data from the CMS NPPES public registry.