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JAISIRI JAIWATANA M.D.
NPI 1295760049
Specialist in Jackson, MS

Active since July 11, 2006
1500 E. WOODROW WILSON DRIVE, JACKSON, MS 39216(601) 362-4471(601) 364-1588 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jaisiri Jaiwatana M.d. NPPES

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

JAISIRI JAIWATANA M.D. (NPI 1295760049) is an individual specialist in Jackson, Mississippi, licensed in District Of Columbia (MD9250) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295760049
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJAISIRI JAIWATANACredential: M.D.
Location Address1500 E. WOODROW WILSON DRIVEJackson, MS 39216-5199
Mailing Address1500 E. Woodrow Wilson DriveJackson, MS 39216-5199 · (601) 362-4471 · Fax (601) 364-1588
Phone(601) 362-4471
Fax(601) 364-1588
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295760049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in DC · MD9250
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1500 E. WOODROW WILSON DRIVE, Jackson, MS 39216
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Other Providers at the Same Location NPPES 5

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

DR. JUDITH LYONS PH.D.
Psychologist (Clinical)
1500 E. WOODROW WILSON DRIVE, VA-TRP (116A2)
JACKSON, MS 39216
Hinds County (601) 364-1224
DR. CHARLES PAUL CLERICUZIO
Surgery
1500 E. WOODROW WILSON DRIVE
JACKSON, MS 39216
Hinds County (601) 362-4471
DWAN SIGGERS WOLFE NP
Nurse Practitioner (Family)
1500 E. WOODROW WILSON DRIVE, PRIMARY CARE BLUE II CLINIC
JACKSON, MS 39216
Hinds County (601) 362-4471
KENYA DELISA WEATHERSPOON OT
Occupational Therapist
1500 E. WOODROW WILSON DRIVE, C/O OCCUPATIONAL THERAPY 117
JACKSON, MS 39216
Hinds County (601) 362-4471
MR. JOHN A NORRIS CRNA
Nurse Anesthetist, Certified Registered
1500 E. WOODROW WILSON DRIVE
JACKSON, MS 39216
Hinds County (601) 362-4471

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 Jaisiri Jaiwatana's NPI number?

The NPI number for Jaisiri Jaiwatana is 1295760049. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Jaisiri Jaiwatana located?

Jaisiri Jaiwatana practices at 1500 E. Woodrow Wilson Drive, Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Jaisiri Jaiwatana's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jaisiri Jaiwatana was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.