EARL BUCKHANAN
NPI 1548777428
Community Health Worker in Jackson, MS

Active since January 02, 2018
460 BRIARWOOD DR STE 510, JACKSON, MS 39206(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: January 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Earl Buckhanan NPPES

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

EARL BUCKHANAN (NPI 1548777428) is an individual community health worker in Jackson, Mississippi and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1548777428
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameEARL BUCKHANAN
Location Address460 BRIARWOOD DR STE 510Jackson, MS 39206-3057
Mailing AddressPo Box 13509Jackson, MS 39236-3509 · (662) 401-2752 · Fax (601) 956-4817
Fax(601) 956-4817
Sole ProprietorNo
Enumeration DateJanuary 2, 2018
NPI 1548777428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
460 BRIARWOOD DR STE 510, Jackson, MS 39206

Other Identifiers 1

Medicaid01670076MS

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.

Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206

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 Earl Buckhanan's NPI number?

The NPI number for Earl Buckhanan is 1548777428. It was assigned to this individual provider in the NPPES registry on January 2, 2018.

Where is Earl Buckhanan located?

Earl Buckhanan practices at 460 Briarwood Dr Ste 510, Jackson, MS 39206. The listed phone number is (601) 956-4816.

What is Earl Buckhanan's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Earl Buckhanan was last updated on January 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.