JACKSON ONCOLOGY ASSOCIATES, PLLC
NPI 1356201693
Internal Medicine - Hematology & Oncology in Forest, MS

Q: What is Jackson Oncology Associates, PLLC's NPI number?

The NPI number for Jackson Oncology Associates, PLLC is 1356201693. It was assigned to this organization in the NPPES registry on November 17, 2025.

Q: What is Jackson Oncology Associates, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since November 17, 2025CLIA 25D0965188 · Certificate of Compliance

330 N BROAD ST, FOREST, MS 39074(601) 355-2485(601) 353-1463 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackson Oncology Associates, Pllc NPPES

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

JACKSON ONCOLOGY ASSOCIATES, PLLC (NPI 1356201693) is a healthcare organization registered as a hematology & oncology in Forest, Mississippi and active in the NPI registry since November 2025. The organization holds a CLIA Certificate of Compliance certificate valid through May 31, 2028 and lists Dendy Magee, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1356201693

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameJACKSON ONCOLOGY ASSOCIATES, PLLC

Location Address330 N BROAD STForest, MS 39074-3508

Mailing Address1227 N State St Ste 101Jackson, MS 39202-2002 · (601) 974-5637 · Fax (601) 974-5605

Phone(601) 355-2485

Fax(601) 353-1463

Organization SubpartYes

Authorized OfficialDendy MageeDirector Of Operations · (601) 974-5600

Enumeration DateNovember 17, 2025

NPPES CertifiedNovember 17, 2025

✔ NPI 1356201693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

330 N BROAD ST, Forest, MS 39074

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0965188

Jackson Oncology Associates St Dominic Campus · Jackson, MS

Active · expires May 31, 2028

CLIA Number25D0965188

Laboratory TypePhysician Office

Certificate Effective DateJune 1, 2026

Certificate Expiration DateMay 31, 2028

Laboratory DirectorDr. Justin T. Baker

Laboratory Phone(601) 974-5600

Laboratory LocationJackson Oncology Associates St Dominic Campus2969 Curran Drive North Suite 200, Jackson, MS 39216

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

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

RORI E. BRIDGES FNP

Nurse Practitioner (Family)