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FONDREN CARE CLINIC
NPI 1255738035
Family Medicine in Jackson, MS

Active since November 22, 2014
4436 N STATE ST, SUITE A1, JACKSON, MS 39206(601) 383-2036(601) 981-5819 Get Directions Write a Review

NPPES record last updated: November 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fondren Care Clinic NPPES

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

FONDREN CARE CLINIC (NPI 1255738035) is a healthcare organization registered as a family medicine in Jackson, Mississippi and active in the NPI registry since November 2014. The organization lists Johnathan Chad Gibson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255738035
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHMG GROUP LLC
Location Address4436 N STATE ST, SUITE A1Jackson, MS 39206-5334
Mailing Address4436 N State St, Suite A1Jackson, MS 39206-5334 · (601) 383-2036 · Fax (601) 981-5819
Phone(601) 383-2036
Fax(601) 981-5819
Organization SubpartNo
Authorized OfficialJohnathan Chad GibsonOffice Manager · (601) 951-9197
Enumeration DateNovember 22, 2014
✔ NPI 1255738035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 07980
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License R860365 (MS)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R878138 (MS)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License R860365 (MS)
4436 N STATE ST, Jackson, MS 39206
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Other Names 1

Doing Business AsFondren Care Clinic

Other Identifiers 5

Medicaid04136595MS
Medicare PIN080004336MS
Medicare UPIND73529MS
Medicaid03727355MS
Medicaid04457077MS

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FONDREN MEDICAL CLINIC
Clinic/Center (Primary Care)
4436 N STATE ST, SUITE A-1
JACKSON, MS 39206
Hinds County (769) 257-5339

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 Hmg Group LLC's NPI number?

The NPI number for Hmg Group LLC is 1255738035. It was assigned to this organization in the NPPES registry on November 22, 2014. The provider is doing business as Fondren Care Clinic.

Where is Hmg Group LLC located?

Hmg Group LLC is located at 4436 N State St Suite A1, Jackson, MS 39206. The listed phone number is (601) 383-2036.

What is Hmg Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Hmg Group LLC was last updated on November 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.