1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Family Medicine
  6. NPI Profile

PATHWAY HEALTHCARE - JACKSON, MS, LLC
NPI 1487179156
Family Medicine - Addiction Medicine in Jackson, MS

Active since August 03, 2017CLIA 25D2275215 · Waiver
1200 N STATE ST STE 450, JACKSON, MS 39202(205) 208-9312 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2023, May 28, 2020, Aug 3, 2017 (3 updates tracked since 2017).

About Pathway Healthcare - Jackson, Ms, Llc NPPES

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

PATHWAY HEALTHCARE - JACKSON, MS, LLC (NPI 1487179156) is a healthcare organization registered as an addiction medicine in Jackson, Mississippi and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through January 17, 2027, maintains 3 additional practice locations, and lists Andrew Turner, President, as its authorized official.

NPPES Registry Identity

NPI1487179156
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NamePATHWAY HEALTHCARE - JACKSON, MS, LLC
Location Address1200 N STATE ST STE 450Jackson, MS 39202-2000
Mailing Address1000 Urban Center Dr Ste 600Vestavia, AL 35242-2584 · (205) 208-9312
Phone(205) 208-9312
Organization SubpartYesParent: Pathway Healthcare- Mississippi Llc
Authorized OfficialAndrew TurnerPresident · (205) 208-9312
Enumeration DateAugust 3, 2017
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1487179156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1200 N STATE ST STE 450, Jackson, MS 39202
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15 DunnbarrLaurel, MS 39440-1041 · Phone (205) 208-9312
Location 24075 Pemberton Square BlvdVicksburg, MS 39180-5580 · Phone (205) 208-9312
Location 33600 Bluecutt Rd Ste 201Columbus, MS 39705-1397 · Phone (205) 208-9312

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 25D2275215

Pathway Healthcare · Laurel, MS
Active · expires Jan 17, 2027
CLIA Number25D2275215
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorNatalie Matthews
Laboratory Phone(601) 651-3015
Laboratory LocationPathway Healthcare5 Dunbar St Ste 1 & 2, Laurel, MS 39440
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MISS JENNIFER CLAIR HEGGIE LPC-S, NCC
Counselor (Professional)
1200 N STATE ST STE 450
JACKSON, MS 39202
Hinds County (601) 957-7343
IMPACT BEHAVIORAL COUNSELING LLC
Counselor (Mental Health)
1200 N STATE ST STE 450
JACKSON, MS 39202
Hinds County (205) 208-9312
DEBORAH VIRGINIA GROSS MD
Psychiatry & Neurology (Addiction Medicine)
1200 N STATE ST STE 450
JACKSON, MS 39202
Hinds County (601) 957-7343

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 Pathway Healthcare - Jackson, Ms, LLC's NPI number?

The NPI number for Pathway Healthcare - Jackson, Ms, LLC is 1487179156. It was assigned to this organization in the NPPES registry on August 3, 2017.

Where is Pathway Healthcare - Jackson, Ms, LLC located?

Pathway Healthcare - Jackson, Ms, LLC is located at 1200 N State St Ste 450, Jackson, MS 39202. The listed phone number is (205) 208-9312.

What is Pathway Healthcare - Jackson, Ms, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Pathway Healthcare - Jackson, Ms, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2275215) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pathway Healthcare - Jackson, Ms, LLC 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 Pathway Healthcare - Jackson, Ms, 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 Pathway Healthcare - Jackson, Ms, LLC was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.