CENTRAL JACKSON FAMILY MEDICAL CLINIC
NPI 1154549707
Clinic/Center - Medical Specialty in Jackson, MS

Q: What is Central Jackson Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since April 20, 2007

514 C WOODROW WILSON, JACKSON, MS 39216(601) 981-7198(601) 981-6616 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Central Jackson Family Medical Clinic NPPES

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

CENTRAL JACKSON FAMILY MEDICAL CLINIC (NPI 1154549707) is a healthcare organization registered as a medical specialty in Jackson, Mississippi and active in the NPI registry since April 2007. The organization lists Cassandra Faye Thomas, Physicain, as its authorized official.

NPPES Registry Identity

NPI1154549707

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameCENTRAL JACKSON FAMILY MEDICAL CLINIC

Location Address514 C WOODROW WILSONJackson, MS 39216

Mailing AddressP.o. Box 4610Jackson, MS 39296-4610 · (601) 981-7198 · Fax (601) 981-6616

Phone(601) 981-7198

Fax(601) 981-6616

Organization SubpartNo

Authorized OfficialCassandra Faye ThomasPhysicain · (601) 981-7198

Enumeration DateApril 20, 2007

Last NPPES UpdateDecember 9, 2010

✔ NPI 1154549707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Licenses✔ Licensed in MS · 13653✔ Licensed in MS · 18905

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

514 C WOODROW WILSON, Jackson, MS 39216

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Other Identifiers 6

Medicaid00937242MS

Medicare ID-Type Unspecified080002896MS

Medicare ID-Type Unspecified080004177MS

Medicaid00112137MS

Medicare UPINF46166MS

Medicare UPINI37668MS

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 Central Jackson Family Medical Clinic's NPI number?

The NPI number for Central Jackson Family Medical Clinic is 1154549707. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Central Jackson Family Medical Clinic located?

Central Jackson Family Medical Clinic is located at 514 C Woodrow Wilson, Jackson, MS 39216. The listed phone number is (601) 981-7198.

What is Central Jackson Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Central Jackson Family Medical Clinic was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.