STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1619778586
Clinic/Center - Rehabilitation in Jackson, MS
About State Of Mississippi - University Of Mississippi Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1619778586) is a healthcare organization registered as a rehabilitation in Jackson, Mississippi and active in the NPI registry since March 2025. The organization maintains 2 additional practice locations and lists Jeffrey Grimsley, Associate Cfo - Clinical Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
State Of Mississippi - University Of Mississippi Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,924Medicare enrollment records show 1,924 clinicians reassign Medicare billing to State Of Mississippi - University Of Mississippi Medical Center, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 1,221 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 67
Nearest to this location (20)
See all 1,924Jackson, MS 39213
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 State Of Mississippi - University Of Mississippi Medical Center's NPI number?
The NPI number for State Of Mississippi - University Of Mississippi Medical Center is 1619778586. It was assigned to this organization in the NPPES registry on March 24, 2025.
Where is State Of Mississippi - University Of Mississippi Medical Center located?
State Of Mississippi - University Of Mississippi Medical Center is located at 350 W Woodrow Wilson Ave Ste 600, Jackson, MS 39213. The listed phone number is (601) 815-6700.
What is State Of Mississippi - University Of Mississippi Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is State Of Mississippi - University Of Mississippi Medical Center enrolled in Medicare?
Yes. State Of Mississippi - University Of Mississippi Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of Mississippi - University Of Mississippi Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,924 clinicians in 67 Medicare specialties reassign their Medicare billing to State Of Mississippi - University Of Mississippi Medical Center. 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 (427), Pediatric Medicine (204) and Certified Registered Nurse Anesthetist (CRNA) (155). Of these, 10 practice at this address and 1,221 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for State Of Mississippi - University Of Mississippi Medical Center was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# State Of Mississippi - University Of Mississippi Medical Center · NPI 1619778586
Rehabilitation organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1619778586 (Entity type: Organization)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Grimsley, ASSOCIATE CFO - CLINICAL OPERATIONS
## Practice location
- **Address:** 350 W WOODROW WILSON AVE STE 600, Jackson, MS 39213-7627
- **Phone:** (601) 815-6700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,924 clinicians in 67 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (427), Pediatric Medicine (204), Certified Registered Nurse Anesthetist (CRNA) (155); 10 practice at this address and 1,221 within 10 miles; [full list](https://npiprofile.com/npi/1619778586/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619778586) · Data from the CMS NPPES public registry.