CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Medicare Clinicians for NPI 1215744396
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, MS

Active since December 12, 2024
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321 Get Directions

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Central Mississippi Civic Improvement Association, Inc. in Jackson, MS bills Medicare for 69 clinicians across 12 Medicare specialties. The largest specialties are Nurse Practitioner with 37, Dentist with 6 and Family Practice with 6. Of these, 30 practice at this address and 54 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

69Clinicians
12Medicare specialties
69PECOS enrolled
47Accept Medicare
69 clinicians in 12 specialties

Nurse Practitioner (37)

Nurse Practitioner
NPI 1437720430
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902100654
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073912366
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235243569
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336868371
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Nurse Practitioner
NPI 1346429214
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578037172
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Nurse Practitioner
NPI 1255999595
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366991101
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659615557
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013698513
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376611087
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275189938
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Nurse Practitioner
NPI 1922042407
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Nurse Practitioner
NPI 1154669786
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528445624
3502 WEST NORTSIDE DRIVE
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922386218
3855 AZALEA DR
Jackson, MS 39206
(601) 366-9447
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1992315212
2570 BAILEY AVE STE 7
Jackson, MS 39213
(769) 251-1408
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1639467921
911 ELLIS AVE
Jackson, MS 39209
(601) 533-7016
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1467758573
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1093294407
145 RAYMOND RD
Jackson, MS 39204
(601) 384-6637
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1215134010
145 RAYMOND ROAD
Jackson, MS 39204
(601) 362-5321
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1750316881
5903 RIDGEWOOD RD STE 310
Jackson, MS 39211
(601) 899-3310
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1790003044
2860 MCDOWELL ROAD EXT
Jackson, MS 39204
(601) 372-1117
✔ PECOS6.2 mi
Nurse Practitioner
NPI 1790295400
2941 TERRY RD
Jackson, MS 39212
(601) 373-0566
✔ PECOS6.4 mi
Nurse Practitioner
NPI 1760550990
1040 N FLOWOOD DR STE 100
Flowood, MS 39232
(601) 933-5417
✔ PECOS6.4 mi
Nurse Practitioner
NPI 1851940951
316 KIRKWOOD DR
Clinton, MS 39056
(601) 500-0548
✔ PECOS6.8 mi
Nurse Practitioner
NPI 1619424330
768 AVERY BLVD N
Ridgeland, MS 39157
(601) 487-6482
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1578195293
297 HIGHWAY 51 STE C
Ridgeland, MS 39157
(601) 707-7899
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1700390184
323 KINGS RIDGE CIR
Brandon, MS 39047
(601) 937-3526
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1699336628
609 CASTLEWOODS BLVD
Brandon, MS 39047
(769) 203-0922
✔ PECOS14 mi
Nurse Practitioner
NPI 1558559823
100 VINE DRIVE
Brandon, MS 39047
(601) 829-3940
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1134871007
907 US 49
Richland, MS 39218
(601) 374-5263
✔ PECOS16 mi
Nurse Practitioner
NPI 1942928999
2080 S FRONTAGE RD #106
Vicksburg, MS 39180
(601) 654-7070
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1174803829
2045 HIGHWAY 61 N
Port Gibson, MS 39150
(601) 437-3050
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1427556349
62 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-4550
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1780987032
2350 WASHINGTON PL NE
Washington, DC 20018
(202) 544-7580
✔ PECOS✔ Accepts Medicare870 mi

Dentist (6)

Dentist
NPI 1619350915
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Dentist
NPI 1578599601
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Dentist
NPI 1710921135
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Dentist
NPI 1811150766
5800 RIDGEWOOD RD SUITE 105
Jackson, MS 39211
(601) 398-2934
✔ PECOS5.8 mi
Dentist
NPI 1063427961
1207 W PEACE ST
Canton, MS 39046
(601) 859-9595
✔ PECOS22 mi
Dentist
NPI 1407979107
2650 BEACH BLVD STE. 31
Biloxi, MS 39531
(228) 273-1689
✔ PECOS✔ Accepts Medicare154 mi

Family Practice (6)

Family Practice
NPI 1487218806
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700076940
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 364-5142
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1124109871
514 A-B WOODROW WILSON
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts Medicare3.9 mi
Family Practice
NPI 1003036252
764 LAKELAND DR BLDG LP
Jackson, MS 39216
(601) 984-6800
✔ PECOS✔ Accepts Medicare3.9 mi
Family Practice
NPI 1356498422
1547 JERRY CLOWER BLVD
Yazoo City, MS 39194
(662) 746-6532
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1790129021
1488 HWY 487 FAMILY MEDICINE
Sebastopol, MS 39359
(601) 625-7403
✔ PECOS✔ Accepts Medicare54 mi

Obstetrics/Gynecology (6)

Obstetrics/Gynecology
NPI 1497864169
3502 W. NORTHSIDE DRIVE
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1841630076
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1164630349
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1073995098
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 364-5142
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1376516849
3502 WEST NORTSIDE DRIVE
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1497888341
1860 CHADWICK DR 300
Jackson, MS 39204
(601) 376-2999
✔ PECOS✔ Accepts Medicare5.0 mi

Pediatric Medicine (4)

Pediatric Medicine
NPI 1790729119
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Pediatric Medicine
NPI 1033146725
350 W WOODROW WILSON AVE
Jackson, MS 39213
(601) 709-5150
✔ PECOS3.0 mi
Pediatric Medicine
NPI 1609141811
960 AVENT DR
Grenada, MS 38901
(662) 227-7008
✔ PECOS100 mi
Pediatric Medicine
NPI 1326569286
5153 N 9TH AVE FL 6
Pensacola, FL 32504
(850) 416-7658
✔ PECOS221 mi

Podiatry (3)

Podiatry
NPI 1336220177
3855 AZALEA DRIVE
Jackson, MS 39206
(601) 366-7063
✔ PECOS✔ Accepts Medicare2.8 mi
Podiatry
NPI 1972537041
128 POINDEXTER ST
Jackson, MS 39203
(601) 355-0026
✔ PECOS✔ Accepts Medicare4.2 mi
Podiatry
NPI 1942463567
953 NORTH ST SUITE A
Jackson, MS 39202
(601) 366-0026
✔ PECOS✔ Accepts Medicare4.6 mi

Emergency Medicine (2)

Emergency Medicine
NPI 1811931454
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOSSame address
Emergency Medicine
NPI 1770519142
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address

Cardiovascular Disease (Cardiology) (1)

Cardiovascular Disease (Cardiology)
NPI 1760496467
1040 RIVER OAKS DR STE 100
Flowood, MS 39232
(601) 933-5417
✔ PECOS✔ Accepts Medicare7.7 mi

Clinical Social Worker (1)

Clinical Social Worker
NPI 1144582099
104 VERONA STREET
Newellton, LA 71357
(318) 467-9949
✔ PECOS✔ Accepts Medicare62 mi

Internal Medicine (1)

Internal Medicine
NPI 1770597163
5903 RIDGEWOOD ROAD, SUITE 310 REDDIX MEDICAL GROUP
Jackson, MS 39211
(601) 899-3310
✔ PECOS✔ Accepts Medicare5.8 mi

Optometry (1)

Optometry
NPI 1417991985
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts MedicareSame address

Psychiatry (1)

Psychiatry
NPI 1760892830
514 E WOODROW WILSON AVE STE A-B
Jackson, MS 39216
(601) 321-2234
✔ PECOS3.8 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Central Mississippi Civic Improvement Association, Inc. appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.