JACKSON MEDICAL CLINIC LLC
NPI 1548219884
Clinic/Center in Jackson, MS

Q: What is Premier Medical Group Of Mississippi LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 05, 2006

501 MARSHALL ST, SUITE 208, JACKSON, MS 39202(601) 352-2273(601) 353-4414 Get Directions Write a Review

NPPES record last updated: February 16, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jackson Medical Clinic Llc NPPES

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

JACKSON MEDICAL CLINIC LLC (NPI 1548219884) is a healthcare organization registered as a clinic/center in Jackson, Mississippi and active in the NPI registry since May 2006. The organization lists James C Bethea, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548219884

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePREMIER MEDICAL GROUP OF MISSISSIPPI LLC

Location Address501 MARSHALL ST, SUITE 208Jackson, MS 39202-1651

Mailing AddressPo Box 23996Jackson, MS 39225-3996 · (601) 206-6113 · Fax (601) 206-6052

Phone(601) 352-2273

Fax(601) 353-4414

Organization SubpartNo

Authorized OfficialJames C BetheaCeo · (601) 352-2273

Enumeration DateMay 5, 2006

Last NPPES UpdateFebruary 16, 2009

✔ NPI 1548219884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

501 MARSHALL ST, Jackson, MS 39202

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Other Names 1

Doing Business AsJackson Medical Clinic Llc

Other Identifiers 4

OtherCD1075MS · Railroad Medicare

Medicare PINC02360MS

Medicaid09014760MS

Medicare NSC3904490002MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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.

SABRA SULLIVAN M.D., PHD.

Dermatology (Procedural Dermatology)

501 MARSHALL ST, SUITE 606
JACKSON, MS 39202

Hinds County (601) 355-8555

DR. KENNETH GILES PERRY JR. M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

501 MARSHALL ST, SUITE 601
JACKSON, MS 39202

Hinds County (601) 948-6540

DR. VIRGINIA A JONES MD

Obstetrics & Gynecology

501 MARSHALL ST, STE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

DR. THOMAS L WILEY MD

Obstetrics & Gynecology

501 MARSHALL ST, STE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

THE WOMANS CLINIC OF MS PLLC

Obstetrics & Gynecology

501 MARSHALL ST, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

DR. LAWRENCE S GOLDSTEIN MD

Obstetrics & Gynecology

501 MARSHALL ST, STE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

DR. MEREDITH M TRAVELSTEAD MD

Obstetrics & Gynecology

501 MARSHALL ST, STE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

NEUROLOGICAL ASSOCIATES

Neurological Surgery

501 MARSHALL ST, STE 501
JACKSON, MS 39202

Hinds County (601) 355-3353

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 Premier Medical Group Of Mississippi LLC's NPI number?

The NPI number for Premier Medical Group Of Mississippi LLC is 1548219884. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Premier Medical Group Of Mississippi LLC located?

Premier Medical Group Of Mississippi LLC is located at 501 Marshall St Suite 208, Jackson, MS 39202. The listed phone number is (601) 352-2273.

What is Premier Medical Group Of Mississippi LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Premier Medical Group Of Mississippi LLC accept?

Health plans from Molina Healthcare list Premier Medical Group Of Mississippi 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 Premier Medical Group Of Mississippi LLC was last updated on February 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.