DR. NANCY GRANT WAHL M.D.
NPI 1427090703
Pediatrics - Pediatric Emergency Medicine in Jackson, MS

Q: What is Nancy Wahl's NPI number?

The NPI number for Nancy Wahl is 1427090703. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Nancy Wahl's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Wahl was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 12, 2006PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-2000 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nancy Grant Wahl M.d. NPPES

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

DR. NANCY GRANT WAHL M.D. (NPI 1427090703) is an individual pediatric emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (12239) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427090703

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. NANCY GRANT WAHLCredential: M.D.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-2000

Phone(601) 984-2000

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateMarch 11, 2014

✔ NPI 1427090703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in MS · 12239

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 5

Medicaid156929AL

Medicaid00013243MS

Medicaid1656640LA

Medicare PIN302I379147MS

Medicare PIN512I370016MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nancy Grant Wahl M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

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