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JACKSON PEDIATRIC ASSOCIATES
NPI 1457484594
Specialist in Ridgeland, MS

Active since March 14, 2007CLIA 25D0989851 · Waiver
297 HIGHWAY 51 STE B, RIDGELAND, MS 39157(601) 707-5381(601) 707-5382 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Pediatric Associates NPPES

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

JACKSON PEDIATRIC ASSOCIATES (NPI 1457484594) is a healthcare organization registered as a specialist in Ridgeland, Mississippi and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Yolanda W Wilson, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1457484594
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACKSON PEDIATRIC ASSOCIATES
Location Address297 HIGHWAY 51 STE BRidgeland, MS 39157-3423
Mailing Address297 Highway 51 Ste BRidgeland, MS 39157-3423 · (601) 707-5381 · Fax (601) 707-5382
Phone(601) 707-5381
Fax(601) 707-5382
Organization SubpartNo
Authorized OfficialYolanda W WilsonPresident Ceo · (601) 707-5381
Enumeration DateMarch 14, 2007
Last NPPES UpdateNovember 16, 2011
✔ NPI 1457484594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 12555
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
297 HIGHWAY 51 STE B, Ridgeland, MS 39157
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Other Identifiers 1

Medicaid09015867MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D0989851

Jackson Pediatric Associates · Ridgeland, MS
Active · expires Mar 7, 2028
CLIA Number25D0989851
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorDr. Yolanda W. Wilson
Laboratory Phone(601) 707-5381
Laboratory LocationJackson Pediatric Associates297 Hwy 51 Suite B, Ridgeland, MS 39157
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. SHAMIKA ROCHELLE HUDSON M.D.
Pediatrics
297 HIGHWAY 51 STE B
RIDGELAND, MS 39157
Madison County (601) 707-5381
STEPHANIE DANIELLE MONROE FNP-BC
Nurse Practitioner
297 HIGHWAY 51 STE B
RIDGELAND, MS 39157
Madison County (601) 707-5381
MRS. CARLA PHILLIPS-COAKLEY NP-C
Nurse Practitioner
297 HIGHWAY 51 STE B
RIDGELAND, MS 39157
Madison County (601) 707-5381
YOLANDA W WILSON M. D.
Pediatrics
297 HIGHWAY 51 STE B
RIDGELAND, MS 39157
Madison County (601) 707-5381

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 Jackson Pediatric Associates's NPI number?

The NPI number for Jackson Pediatric Associates is 1457484594. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Jackson Pediatric Associates located?

Jackson Pediatric Associates is located at 297 Highway 51 Ste B, Ridgeland, MS 39157. The listed phone number is (601) 707-5381.

What is Jackson Pediatric Associates's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Jackson Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0989851) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Pediatric Associates accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Jackson Pediatric Associates 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 Jackson Pediatric Associates was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.