JACKSON PULMONARY ASSOCIATES, PA
NPI 1174570584
Internal Medicine - Pulmonary Disease in Jackson, MS
About Jackson Pulmonary Associates, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON PULMONARY ASSOCIATES, PA (NPI 1174570584) is a healthcare organization registered as a pulmonary disease in Jackson, Mississippi and active in the NPI registry since May 2006. The organization lists R Todd Warren, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Pulmonary Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
48Medicare enrollment records show 48 clinicians reassign Medicare billing to Jackson Pulmonary Associates, PA, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 48Source: 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 Pulmonary Associates, PA's NPI number?
The NPI number for Jackson Pulmonary Associates, PA is 1174570584. It was assigned to this organization in the NPPES registry on May 30, 2006.
Where is Jackson Pulmonary Associates, PA located?
Jackson Pulmonary Associates, PA is located at 971 Lakeland Dr Suite 1052, Jackson, MS 39216. The listed phone number is (601) 981-9503.
What is Jackson Pulmonary Associates, PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Jackson Pulmonary Associates, PA enrolled in Medicare?
Yes. Jackson Pulmonary Associates, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Pulmonary Associates, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 3 Medicare specialties reassign their Medicare billing to Jackson Pulmonary Associates, 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 Nurse Practitioner (30), Pulmonary Disease (13) and Internal Medicine (5). Of these, 16 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jackson Pulmonary Associates, PA accept?
Health plans from Molina Healthcare list Jackson Pulmonary Associates, 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 Pulmonary Associates, PA was last updated on August 22, 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 Pulmonary Associates, Pa · NPI 1174570584
Pulmonary Disease organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since May 30, 2006.
## Identity
- **NPI:** 1174570584 (Entity type: Organization)
- **Enumerated:** May 30, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** R Warren, ADMINISTRATOR
## Practice location
- **Address:** 971 LAKELAND DR, SUITE 1052, Jackson, MS 39216-4643
- **Phone:** (601) 981-9503 · **Fax:** (601) 982-0148
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 48 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (30), Pulmonary Disease (13), Internal Medicine (5); 16 practice at this address and 40 within 10 miles; [full list](https://npiprofile.com/npi/1174570584/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1174570584) · Data from the CMS NPPES public registry.