MINOR MED CARE, LLC
NPI 1407968738
Clinic/Center - Primary Care in Jackson, MS

Active since August 31, 2006CLIA 25D0318086 · Waiver
2860 MCDOWELL ROAD EXT, JACKSON, MS 39204(601) 372-1117(601) 373-3004 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, Jan 8, 2025 (2 updates tracked since 2025).

About Minor Med Care, Llc NPPES

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

MINOR MED CARE, LLC (NPI 1407968738) is a healthcare organization registered as a primary care in Jackson, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists John Duke, Coo, as its authorized official.

NPPES Registry Identity

NPI1407968738
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMINOR MED CARE, LLC
Location Address2860 MCDOWELL ROAD EXTJackson, MS 39204-4238
Mailing Address215 Katherine Dr Ste AFlowood, MS 39232-9588 · (601) 665-4162 · Fax (601) 373-3004
Fax(601) 373-3004
Organization SubpartNo
Authorized OfficialJohn DukeCoo · (601) 665-4162
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1407968738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · 09740
2860 MCDOWELL ROAD EXT, Jackson, MS 39204

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minor Med Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

170

Medicare enrollment records show 170 clinicians reassign Medicare billing to Minor Med Care, LLC, which bills Medicare for the services they deliver. Of these, 33 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner128
Clinical Social Worker34
Family Practice5
Mental Health Counselor2
Internal Medicine1

Nearest to this location (20)

See all 170
Nurse Practitioner
NPI 1568836815
2860 MCDOWELL ROAD EXT
Jackson, MS 39204
(601) 372-1117
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1285746511
2860 MCDOWELL ROAD EXT
Jackson, MS 39204
(601) 372-1117
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1649868357
2860 MCDOWELL ROAD EXT
Jackson, MS 39204
(601) 372-1117
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1750691465
2860 MCDOWELL ROAD EXT
Jackson, MS 39204
(601) 372-1117
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1518168228
3012 RIDGELAND DR
Jackson, MS 39212
(601) 572-3700
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1114379427
3450 HIGHWAY 80 W
Jackson, MS 39209
(601) 321-2497
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1023503554
2941 TERRY RD STE 6
Jackson, MS 39212
(601) 363-0566
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1124456850
590 SPRINGRIDGE RD
Clinton, MS 39056
(601) 488-8101
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1982057345
350 W WOODROW WILSON AVE
Jackson, MS 39213
(601) 709-5130
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1497271415
1200 NORTH STATE STREET SUITE 420
Jackson, MS 39202
(601) 355-3353
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1164155297
1190 N STATE ST STE 502
Jackson, MS 39202
(601) 944-1781
✔ PECOS✔ Accepts Medicare5.8 mi
Internal Medicine
NPI 1174770168
1225 N STATE ST
Jackson, MS 39202
(601) 664-1300
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1780356212
1225 N STATE ST
Jackson, MS 39202
(601) 968-1031
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1053630806
1225 N STATE ST
Jackson, MS 39202
(601) 968-1031
✔ PECOS✔ Accepts Medicare5.8 mi
Clinical Social Worker
NPI 1053599142
1225 N STATE ST
Jackson, MS 39202
(601) 968-1362
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1194089508
1225 N STATE ST
Jackson, MS 39202
(601) 968-1000
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1952853731
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1982833091
2500 N STATE ST
Jackson, MS 39216
(601) 925-6805
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1083191340
2500 N STATE ST
Jackson, MS 39216
(601) 984-1000
✔ PECOS✔ Accepts Medicare6.6 mi
Family Practice
NPI 1396199840
971 LAKELAND DR STE 356
Jackson, MS 39216
(601) 200-4644
✔ PECOS✔ Accepts Medicare7.1 mi
See all 170 clinicians

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

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 Waiver 25D0318086

Minor Med Care · Jackson, MS
Active · expires Dec 26, 2026
CLIA Number25D0318086
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorTimothy D. Estes
Laboratory Phone(601) 372-1117
Laboratory LocationMinor Med Care2860 Mcdowell Rd, Jackson, MS 39204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Minor Med Care, LLC's NPI number?

The NPI number for Minor Med Care, LLC is 1407968738. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Minor Med Care, LLC located?

Minor Med Care, LLC is located at 2860 Mcdowell Road Ext, Jackson, MS 39204. The listed phone number is (601) 372-1117.

What is Minor Med Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Minor Med Care, LLC enrolled in Medicare?

Yes. Minor Med Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minor Med Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 170 clinicians in 5 Medicare specialties reassign their Medicare billing to Minor Med Care, LLC. 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 (128), Clinical Social Worker (34) and Family Practice (5). Of these, 33 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Minor Med Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0318086) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Minor Med Care, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Minor Med Care, LLC 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 Minor Med Care, LLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.