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JACKSON RURAL HEALTH CLINIC P A
NPI 1316975287
Family Medicine in Rolling Fork, MS

Active since June 29, 2006
29 S FOURTH ST, ROLLING FORK, MS 39159(662) 873-4361(662) 873-2921 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Rural Health Clinic P A NPPES

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

JACKSON RURAL HEALTH CLINIC P A (NPI 1316975287) is a healthcare organization registered as a family medicine in Rolling Fork, Mississippi and active in the NPI registry since June 2006. The organization lists Danny Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1316975287
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON RURAL HEALTH CLINIC P A
Location Address29 S FOURTH STRolling Fork, MS 39159-5146
Mailing AddressPo Box 520Rolling Fork, MS 39159-0520 · (662) 873-4361 · Fax (662) 873-2921
Phone(662) 873-4361
Fax(662) 873-2921
Organization SubpartNo
Authorized OfficialDanny JacksonOwner · (662) 873-4361
Enumeration DateJune 29, 2006
Last NPPES UpdateDecember 4, 2012
✔ NPI 1316975287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 253949
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.
29 S FOURTH ST, Rolling Fork, MS 39159
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Other Identifiers 2

Medicaid09014136MS
Medicare ID-Type Unspecified253949MN · Riverbend (medicare Rh)

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. MICHAEL LEO BAKER D.O.
Family Medicine
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4361
MRS. PATSY JOHNSON CFNP
Nurse Practitioner (Family)
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4361
PAIN TREATMENT CENTERS OF AMERICA PLLC
Durable Medical Equipment & Medical Supplies
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (501) 712-2571
DR. DANNY W JACKSON D.O. PA
Clinical Medical Laboratory
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4361
PAIN TREATMENT CENTERS OF AMERICA, PLLC
Family Medicine
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (501) 712-2571
DR. DANNY WADE JACKSON D.O.
Family Medicine
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4361

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 Rural Health Clinic P A's NPI number?

The NPI number for Jackson Rural Health Clinic P A is 1316975287. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Jackson Rural Health Clinic P A located?

Jackson Rural Health Clinic P A is located at 29 S Fourth St, Rolling Fork, MS 39159. The listed phone number is (662) 873-4361.

What is Jackson Rural Health Clinic P A's specialty?

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

What insurance does Jackson Rural Health Clinic P A accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Jackson Rural Health Clinic P A 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 Rural Health Clinic P A was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.