MISSISSIPPI STATE HOSPITAL COMMUNITY SERVICES MENTAL HEALTH
NPI 1336224179
Community Based Residential Treatment Facility, Mental Illness in Jackson, MS

Active since October 26, 2006
350 CAPERS AVENUE, JACKSON, MS 39203(601) 351-8000(601) 351-8301 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mississippi State Hospital Community Services Mental Health NPPES

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

MISSISSIPPI STATE HOSPITAL COMMUNITY SERVICES MENTAL HEALTH (NPI 1336224179) is a healthcare organization registered as a community based residential treatment facility, mental illness in Jackson, Mississippi and active in the NPI registry since October 2006. The organization lists James G Chastain, Director, as its authorized official.

NPPES Registry Identity

NPI1336224179
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMISSISSIPPI STATE HOSPITAL AT WHITFIELD
Location Address350 CAPERS AVENUEJackson, MS 39203
Mailing AddressP.o. Box 1 - Fiscal Services, 3550 Highway 468 WestWhitfield, MS 39193-0157 · (601) 351-8000 · Fax (601) 351-8301
Fax(601) 351-8301
Organization SubpartYes
Authorized OfficialJames G ChastainDirector · (601) 351-8000
Enumeration DateOctober 26, 2006
Last NPPES UpdateMarch 14, 2012
✔ NPI 1336224179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in MS · DCS-MSH
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
350 CAPERS AVENUE, Jackson, MS 39203

Other Names 1

Doing Business AsMississippi State Hospital Community Services Mental Health

Other Identifiers 2

Medicare OSCAR/certificationC00171MS
Medicaid04972797MS

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mississippi State Hospital Community Services Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

66

Medicare enrollment records show 66 clinicians reassign Medicare billing to Mississippi State Hospital Community Services Mental Health, which bills Medicare for the services they deliver. Of these, 43 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Diagnostic Radiology15
Psychiatry13
Anesthesiology12
Nurse Practitioner10
Family Practice8
Internal Medicine5
Allergy/Immunology1
Rheumatology1
1 other specialty1

Nearest to this location (20)

See all 66
Anesthesiology
NPI 1679863633
1151 N STATE ST STE 311
Jackson, MS 39202
(601) 969-1171
✔ PECOS✔ Accepts Medicare1.6 mi
Anesthesiology
NPI 1649244179
1151 N. STATE ST. SUITE 311
Jackson, MS 39202
(601) 969-1171
✔ PECOS✔ Accepts Medicare1.6 mi
Anesthesiology
NPI 1073724910
1151 NORTH STATE ST., SUITE 311 JACKSON ANESTHESIA ASSOCIATES
Jackson, MS 39202
(210) 567-4500
✔ PECOS✔ Accepts Medicare1.6 mi
Anesthesiology
NPI 1164620761
2500 N STATE ST
Jackson, MS 39216
(601) 984-5900
✔ PECOS✔ Accepts Medicare2.0 mi
Psychiatry
NPI 1760669345
2500 NORTH STATE STREET
Jackson, MS 39216
(601) 984-6441
✔ PECOS2.0 mi
Nurse Practitioner
NPI 1063889632
2500 N STATE ST
Jackson, MS 39216
(601) 984-5815
✔ PECOS✔ Accepts Medicare2.0 mi
Anesthesiology
NPI 1831388271
2500 N STATE ST
Jackson, MS 39216
(601) 984-5900
✔ PECOS✔ Accepts Medicare2.0 mi
Psychiatry
NPI 1124060033
2500 N STATE ST
Jackson, MS 39216
(601) 984-5888
✔ PECOS✔ Accepts Medicare2.0 mi
Urology
NPI 1740381045
2500 NORTH STATE STREET
Jackson, MS 39216
(601) 925-6805
✔ PECOS✔ Accepts Medicare2.0 mi
Diagnostic Radiology
NPI 1013145820
2500 N STATE ST
Jackson, MS 39216
(601) 984-5600
✔ PECOS✔ Accepts Medicare2.0 mi
Internal Medicine
NPI 1336403740
2500 N STATE ST DEPARTMENT OF MEDICINE
Jackson, MS 39216
(601) 984-5604
✔ PECOS✔ Accepts Medicare2.0 mi
Diagnostic Radiology
NPI 1437121134
2500 NORTH STATE ST.
Jackson, MS 39216
(601) 984-2538
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1467758573
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts Medicare2.2 mi
Psychiatry
NPI 1164468468
3450 HIGHWAY 80 W
Jackson, MS 39209
(601) 321-2400
✔ PECOS✔ Accepts Medicare2.4 mi
Psychiatry
NPI 1568492478
3450 HIGHWAY 80 W
Jackson, MS 39209
(601) 321-2400
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1518323427
3450 HIGHWAY 80 W
Jackson, MS 39209
(601) 321-2400
✔ PECOS✔ Accepts Medicare2.4 mi
Internal Medicine
NPI 1609809771
1500 E WOODROW WILSON AVE G.V. (SONNY) MONTGOMERY VAMC (111-P)
Jackson, MS 39216
(601) 362-4471
✔ PECOS2.4 mi
Nurse Practitioner
NPI 1912927526
878 LAKELAND DR LB-BUILDING
Jackson, MS 39216
(601) 815-1078
✔ PECOS✔ Accepts Medicare2.6 mi
Family Practice
NPI 1457513350
878 LAKELAND DR
Jackson, MS 39216
(601) 984-6800
✔ PECOS✔ Accepts Medicare2.6 mi
Internal Medicine
NPI 1558396424
1860 CHADWICK DR STE 351
Jackson, MS 39204
(601) 376-1288
✔ PECOS✔ Accepts Medicare3.5 mi
See all 66 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mississippi State Hospital At Whitfield's NPI number?

The NPI number for Mississippi State Hospital At Whitfield is 1336224179. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Mississippi State Hospital Community Services Mental Health.

Where is Mississippi State Hospital At Whitfield located?

Mississippi State Hospital At Whitfield is located at 350 Capers Avenue, Jackson, MS 39203. The listed phone number is (601) 351-8000.

What is Mississippi State Hospital At Whitfield's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Is Mississippi State Hospital At Whitfield enrolled in Medicare?

Yes. Mississippi State Hospital At Whitfield is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mississippi State Hospital At Whitfield?

According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 9 Medicare specialties reassign their Medicare billing to Mississippi State Hospital At Whitfield. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (15), Psychiatry (13) and Anesthesiology (12). Of these, 43 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mississippi State Hospital At Whitfield was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.