MY BROTHER'S KEEPER, INC
NPI 1609128339
Clinic/Center in Jackson, MS

Active since October 04, 2012
805 E RIVER PL, JACKSON, MS 39202(601) 500-7660(769) 243-7946 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2022, May 4, 2021, Apr 16, 2018 (3 updates tracked since 2018).

About My Brother's Keeper, Inc NPPES

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

MY BROTHER'S KEEPER, INC (NPI 1609128339) is a healthcare organization registered as a clinic/center in Jackson, Mississippi and active in the NPI registry since October 2012. The organization maintains a secondary practice location in Jackson and lists June A Gipson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609128339
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMY BROTHER'S KEEPER, INC
Location Address805 E RIVER PLJackson, MS 39202-3486
Mailing Address805 E River PlJackson, MS 39202-3486 · (601) 500-7660 · Fax (769) 243-7946
Fax(769) 243-7946
Organization SubpartNo
Authorized OfficialJune A GipsonCeo · (769) 216-2455
Enumeration DateOctober 4, 2012
Last NPPES UpdateMarch 2, 20223 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
✔ NPI 1609128339 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).
805 E RIVER PL, Jackson, MS 39202

Secondary Practice Location 1

Location 1500 E Woodrow Wilson Ave Ste MJackson, MS 39216-4538 · Phone (601) 500-7660 · Fax (601) 957-3640

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Brother's Keeper, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to My Brother's Keeper, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1750641759
805 E RIVER PL
Jackson, MS 39202
(601) 500-7660
✔ PECOSSame address
Nurse Practitioner
NPI 1447632351
805 E RIVER PL
Jackson, MS 39202
(601) 500-7660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033643432
805 E RIVER PL
Jackson, MS 39202
(601) 500-7660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831468305
1500 E WOODROW WILSON AVE EMERGENCY DEPARTMENT
Jackson, MS 39216
(601) 362-4471
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1821297961
1000 HIGHLAND COLONY PKWY STE 5203
Ridgeland, MS 39157
(855) 212-2273
✔ PECOS✔ Accepts Medicare9.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 My Brother's Keeper, Inc's NPI number?

The NPI number for My Brother's Keeper, Inc is 1609128339. It was assigned to this organization in the NPPES registry on October 4, 2012.

Where is My Brother's Keeper, Inc located?

My Brother's Keeper, Inc is located at 805 E River Pl, Jackson, MS 39202. The listed phone number is (601) 500-7660.

What is My Brother's Keeper, Inc's specialty?

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

Is My Brother's Keeper, Inc enrolled in Medicare?

Yes. My Brother's Keeper, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Brother's Keeper, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to My Brother's Keeper, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does My Brother's Keeper, Inc accept?

Health plans from Cigna Healthcare and Molina Healthcare list My Brother's Keeper, Inc 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 My Brother's Keeper, Inc was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.