CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
NPI 1356483283
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, MS

Active since February 14, 2007
5429 ROBINSON ROAD EXT, JACKSON, MS 39204(601) 948-5572(601) 353-7070 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2022, Nov 16, 2021, Nov 13, 2017 (3 updates tracked since 2017).

About Central Mississippi Health Services, Inc. NPPES

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

CENTRAL MISSISSIPPI HEALTH SERVICES, INC. (NPI 1356483283) is a healthcare organization registered as a federally qualified health center (fqhc) in Jackson, Mississippi and active in the NPI registry since February 2007. The organization lists Terry Johnson, Human Resources Manager, as its authorized official.

NPPES Registry Identity

NPI1356483283
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Location Address5429 ROBINSON ROAD EXTJackson, MS 39204-4138
Mailing Address1134 Winter StJackson, MS 39204-2841 · (601) 948-5572 · Fax (601) 353-7070
Fax(601) 353-7070
Organization SubpartNo
Authorized OfficialTerry JohnsonHuman Resources Manager · (601) 948-5572
Enumeration DateFebruary 14, 2007
Last NPPES UpdateApril 28, 20223 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1356483283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
5429 ROBINSON ROAD EXT, Jackson, MS 39204

Other Identifiers 1

Medicaid08582355MS

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Mississippi Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20040225000632Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Central Mississippi Health Services, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner10
Family Practice4
Internal Medicine2
Clinical Social Worker1
Obstetrics/Gynecology1
Pediatric Medicine1
Urology1

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1992149348
5429 ROBINSON ROAD EXT
Jackson, MS 39204
(601) 914-0163
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912471939
911 ELLIS AVE
Jackson, MS 39209
(601) 533-7016
✔ PECOS✔ Accepts Medicare2.8 mi
Internal Medicine
NPI 1851321384
1134 WINTER ST
Jackson, MS 39204
(601) 948-5572
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1841916806
1134 WINTER ST
Jackson, MS 39204
(601) 948-5572
✔ PECOS3.4 mi
Nurse Practitioner
NPI 1376948075
1134 WINTER ST
Jackson, MS 39204
(601) 948-5572
✔ PECOS✔ Accepts Medicare3.4 mi
Family Practice
NPI 1285663591
1134 WINTER ST
Jackson, MS 39204
(601) 948-5572
✔ PECOS✔ Accepts Medicare3.4 mi
Obstetrics/Gynecology
NPI 1154359842
1134 WINTER ST
Jackson, MS 39204
(601) 948-5572
✔ PECOS✔ Accepts Medicare3.4 mi
Internal Medicine
NPI 1134158579
1134 WINTER ST
Jackson, MS 39204
(601) 948-5572
✔ PECOS✔ Accepts Medicare3.4 mi
Clinical Social Worker
NPI 1124032677
248 E CAPITOL ST 840 TRUST MARK BLDG
Jackson, MS 39201
(800) 632-6074
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1518361922
200 PECAN HILL DR APT 15
Clinton, MS 39056
(601) 383-1592
✔ PECOS4.9 mi
Nurse Practitioner
NPI 1851940951
316 KIRKWOOD DR
Clinton, MS 39056
(601) 500-0548
✔ PECOS5.2 mi
Urology
NPI 1609983725
971 LAKELAND DR STE 360
Jackson, MS 39216
(601) 200-4370
✔ PECOS✔ Accepts Medicare6.8 mi
Family Practice
NPI 1902972235
1730 BELLEWOOD RD
Jackson, MS 39211
(601) 940-9785
✔ PECOS9.1 mi
Pediatric Medicine
NPI 1750438446
500 W COUNTY LINE RD
Tougaloo, MS 39174
(601) 957-6776
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1992070825
500 W COUNTY LINE RD
Tougaloo, MS 39174
(601) 957-6776
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1548459019
4635 HIGHWAY 80 E
Pearl, MS 39208
(601) 936-3833
✔ PECOS12 mi
Nurse Practitioner
NPI 1295344224
1668 W PEACE ST
Canton, MS 39046
(662) 859-5213
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1003392416
747 INDUSTRIAL PARK RD NE
Brookhaven, MS 39601
(601) 833-4111
✔ PECOS48 mi
Family Practice
NPI 1891226346
113 LIELMANIS AVE
Hurlburt Field, FL 32544
(850) 881-3920
✔ PECOS246 mi
Family Practice
NPI 1467600817
15322 SAINT CLAIR AVE
Cleveland, OH 44110
(216) 851-1500
✔ PECOS✔ Accepts Medicare799 mi

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 Central Mississippi Health Services, Inc.'s NPI number?

The NPI number for Central Mississippi Health Services, Inc. is 1356483283. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Central Mississippi Health Services, Inc. located?

Central Mississippi Health Services, Inc. is located at 5429 Robinson Road Ext, Jackson, MS 39204. The listed phone number is (601) 948-5572.

What is Central Mississippi Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Central Mississippi Health Services, Inc. enrolled in Medicare?

Yes. Central Mississippi Health Services, Inc. is registered in the Medicare PECOS enrollment system.

When is Central Mississippi Health Services, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Central Mississippi Health Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to Central Mississippi Health Services, Inc.. 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 Nurse Practitioner (10), Family Practice (4) and Internal Medicine (2). Of these, 1 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Central Mississippi Health Services, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Central Mississippi Health Services, Inc. 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 Central Mississippi Health Services, Inc. was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.