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METRO JACKSON OBGYN
NPI 1154956134
Obstetrics & Gynecology in Jackson, MS

Active since March 10, 2020
501 MARSHALL ST STE 502, JACKSON, MS 39202(769) 233-8585(601) 487-5156 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2020, Sep 17, 2020, Mar 10, 2020 (3 updates tracked since 2020).

About Metro Jackson Obgyn NPPES

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

METRO JACKSON OBGYN (NPI 1154956134) is a healthcare organization registered as an obstetrics & gynecology in Jackson, Mississippi and active in the NPI registry since March 2020. The organization lists Debra Amy Martin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154956134
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameGREATER JACKSON OBGYN LLC
Location Address501 MARSHALL ST STE 502Jackson, MS 39202-1661
Mailing Address501 Marshall St Ste 502Jackson, MS 39202-1661 · (769) 233-8585 · Fax (601) 487-5153
Phone(769) 233-8585
Fax(601) 487-5156
Organization SubpartNo
Authorized OfficialDebra Amy MartinOffice Manager · (769) 233-8585
Enumeration DateMarch 10, 2020
Last NPPES UpdateNovember 23, 20203 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1154956134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
501 MARSHALL ST STE 502, Jackson, MS 39202
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Other Names 1

Doing Business AsMetro Jackson Obgyn

Other Identifiers 1

Medicaid00118723MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Greater Jackson Obgyn LLC's NPI number?

The NPI number for Greater Jackson Obgyn LLC is 1154956134. It was assigned to this organization in the NPPES registry on March 10, 2020. The provider is doing business as Metro Jackson Obgyn.

Where is Greater Jackson Obgyn LLC located?

Greater Jackson Obgyn LLC is located at 501 Marshall St Ste 502, Jackson, MS 39202. The listed phone number is (769) 233-8585.

What is Greater Jackson Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Greater Jackson Obgyn LLC was last updated on November 23, 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.