STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1114727385
Skilled Nursing Facility - Nursing Care, Pediatric in Jackson, MS

Q: What is State Of Mississippi - University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Active since March 17, 2025

3850 EASTWOOD DRIVE, JACKSON, MS 39211(601) 984-2972 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About State Of Mississippi - University Of Mississippi Medical Center NPPES

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

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1114727385) is a healthcare organization registered as a nursing care, pediatric in Jackson, Mississippi and active in the NPI registry since March 2025. The organization lists Jeffrey Grimsley, Associate Cfo-clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1114727385

Entity TypeOrganization

Primary Taxonomy3140N1450X

Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Location Address3850 EASTWOOD DRIVEJackson, MS 39211

Mailing AddressPo Box 11407Birmingham, AL 35246-3035 · (601) 496-9782

Phone(601) 984-2972

Organization SubpartNo

Authorized OfficialJeffrey GrimsleyAssociate Cfo-clinical Operations · (601) 815-6270

Enumeration DateMarch 17, 2025

NPPES CertifiedMarch 11, 2025

✔ NPI 1114727385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities

Taxonomy Code3140N1450X

Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

3850 EASTWOOD DRIVE, Jackson, MS 39211

Open in Google Maps ↗

Other Names 1

Other NameAlyce G. Clarke Center For Medically Fragile Children

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 State Of Mississippi - University Of Mississippi Medical Center's NPI number?

The NPI number for State Of Mississippi - University Of Mississippi Medical Center is 1114727385. It was assigned to this organization in the NPPES registry on March 17, 2025. The provider is also known as Alyce G. Clarke Center for Medically Fragile Children.

Where is State Of Mississippi - University Of Mississippi Medical Center located?

State Of Mississippi - University Of Mississippi Medical Center is located at 3850 Eastwood Drive, Jackson, MS 39211. The listed phone number is (601) 984-2972.

What is State Of Mississippi - University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for State Of Mississippi - University Of Mississippi Medical Center was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.