PECAN PARK ELEMENTARY SCHOOL-BASED
NPI 1134592777
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, MS
About Pecan Park Elementary School-based NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PECAN PARK ELEMENTARY SCHOOL-BASED (NPI 1134592777) is a healthcare organization registered as a federally qualified health center (fqhc) in Jackson, Mississippi and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Jasmin Chapman, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2104703
Pecan Park Elementary School-Based · Jackson, MSFrequently 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 Central Mississippi Civic Improvement Association, Inc's NPI number?
The NPI number for Central Mississippi Civic Improvement Association, Inc is 1134592777. It was assigned to this organization in the NPPES registry on November 4, 2015. The provider is doing business as Pecan Park Elementary School-Based.
Where is Central Mississippi Civic Improvement Association, Inc located?
Central Mississippi Civic Improvement Association, Inc is located at 415 Claiborne Ave, Jackson, MS 39209. The listed phone number is (601) 364-5142.
What is Central Mississippi Civic Improvement Association, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Central Mississippi Civic Improvement Association, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2104703) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Central Mississippi Civic Improvement Association, Inc accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Central Mississippi Civic Improvement Association, Inc 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 Central Mississippi Civic Improvement Association, Inc was last updated on November 4, 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.
# Pecan Park Elementary School-Based · NPI 1134592777
Federally Qualified Health Center (FQHC) organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since November 4, 2015.
## Identity
- **NPI:** 1134592777 (Entity type: Organization)
- **Enumerated:** November 4, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Central Mississippi Civic Improvement Association, Inc
- **Organization subpart:** No
- **Authorized official:** Jasmin Chapman, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 415 CLAIBORNE AVE, Jackson, MS 39209-5321
- **Phone:** (601) 364-5142
## Record status
- **NPPES last updated:** November 4, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134592777) · Data from the CMS NPPES public registry.