CENTRAL MEDICAL CLINIC, P.A.
NPI 1396806857
Internal Medicine in Jackson, MS

Active since December 12, 2006
1190 N STATE ST, SUITE 201, JACKSON, MS 39202(601) 352-7011(601) 352-3173 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Central Medical Clinic, P.a. NPPES

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

CENTRAL MEDICAL CLINIC, P.A. (NPI 1396806857) is a healthcare organization registered as an internal medicine in Jackson, Mississippi and active in the NPI registry since December 2006. The organization lists Gordon B Delashmet, President, as its authorized official.

NPPES Registry Identity

NPI1396806857
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTRAL MEDICAL CLINIC, P.A.
Location Address1190 N STATE ST, SUITE 201Jackson, MS 39202-2413
Mailing Address1190 N State St, Suite 201Jackson, MS 39202-2413 · (601) 352-7011 · Fax (601) 352-3173
Fax(601) 352-3173
Organization SubpartNo
Authorized OfficialGordon B DelashmetPresident · (601) 352-7011
Enumeration DateDecember 12, 2006
Last NPPES UpdateDecember 14, 2007
NPI 1396806857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1190 N STATE ST, Jackson, MS 39202

Other Identifiers 2

Medicaid04200767MS
Medicare ID-Type UnspecifiedC00766MS

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Ambulatory Surgical)
1190 N STATE ST, STE 102
JACKSON, MS 39202
Physical Medicine & Rehabilitation (Pain Medicine)
1190 N STATE ST, SUITE 202
JACKSON, MS 39202
Surgery
1190 N STATE ST, SUITE 502
JACKSON, MS 39202
Surgery
1190 N STATE ST, STE 502
JACKSON, MS 39202
Pain Medicine (Pain Medicine)
1190 N STATE ST, SUITE 300
JACKSON, MS 39202
Ophthalmology
1190 N STATE ST, STE 403
JACKSON, MS 39202
Surgery
1190 N STATE ST, SUITE 502
JACKSON, MS 39202
Social Worker (Clinical)
1190 N STATE ST, SUITE 301
JACKSON, MS 39202

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 Medical Clinic, P.A.'s NPI number?

The NPI number for Central Medical Clinic, P.A. is 1396806857. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Central Medical Clinic, P.A. located?

Central Medical Clinic, P.A. is located at 1190 N State St Suite 201, Jackson, MS 39202. The listed phone number is (601) 352-7011.

What is Central Medical Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Central Medical Clinic, P.A. was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.