1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Clinic Center
  6. NPI Profile

CONVENIENT CARE CLINIC
NPI 1285700617
Clinic/Center - Primary Care in Jackson, MS

Active since November 28, 2006
350 W WOODROW WILSON AVE, SUITE 615, JACKSON, MS 39213(601) 982-0673(601) 982-0459 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Convenient Care Clinic NPPES

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

CONVENIENT CARE CLINIC (NPI 1285700617) is a healthcare organization registered as a primary care in Jackson, Mississippi and active in the NPI registry since November 2006. The organization lists Cheryl R Walker, Adminstrative Associate, as its authorized official.

NPPES Registry Identity

NPI1285700617
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMALL SERVICES, LLC
Location Address350 W WOODROW WILSON AVE, SUITE 615Jackson, MS 39213-7681
Mailing Address350 W Woodrow Wilson Ave, Suite 615Jackson, MS 39213-7681 · (601) 982-0673 · Fax (601) 982-0459
Phone(601) 982-0673
Fax(601) 982-0459
Organization SubpartNo
Authorized OfficialCheryl R WalkerAdminstrative Associate · (601) 982-0673
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285700617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in MS · V-014✔ Licensed in MS · R729183
350 W WOODROW WILSON AVE, Jackson, MS 39213
Open in Google Maps ↗

Other Names 1

Doing Business AsConvenient Care Clinic

Other Identifiers 2

Medicaid07606048MS
Medicaid08406271MS

Other Providers at the Same Location NPPES 20

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

JACKSON STATE UNIVERSITY
Social Worker (Clinical)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 979-1531
DR. EVA MAE HENDERSON M.D.
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 709-5150
WANDA JOHNSON BCFNP
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 411
JACKSON, MS 39213
Hinds County (601) 364-2666
DR. SHEILA KALKA JEFF MD
Family Medicine
350 W WOODROW WILSON AVE, BOX 20
JACKSON, MS 39213
Hinds County (601) 364-2666
TIMOTHY PAUL MCNEILL RN
Registered Nurse
350 W WOODROW WILSON AVE, #499A
JACKSON, MS 39213
Hinds County (601) 500-7709
DR. KANDIS VECHELLE BACKUS PHARMD
Pharmacist (Ambulatory Care)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 815-3272
DR. SRINIVASAN VIJAYAKUMAR M.D.
Radiology (Radiation Oncology)
350 W WOODROW WILSON AVE, SUITE 16
JACKSON, MS 39213
Hinds County (601) 815-6886
MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC
Nurse Practitioner (Primary Care)
350 W WOODROW WILSON AVE, SUITE 499A
JACKSON, MS 39213
Hinds County (601) 700-7709

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 Mall Services, LLC's NPI number?

The NPI number for Mall Services, LLC is 1285700617. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Convenient Care Clinic.

Where is Mall Services, LLC located?

Mall Services, LLC is located at 350 W Woodrow Wilson Ave Suite 615, Jackson, MS 39213. The listed phone number is (601) 982-0673.

What is Mall Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mall Services, LLC 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 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.