STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1619778586
Clinic/Center - Rehabilitation in Jackson, MS

Active since March 24, 2025
350 W WOODROW WILSON AVE STE 600, JACKSON, MS 39213(601) 815-6700 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 8, 2025, Mar 24, 2025 (2 updates tracked since 2025).

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

NPI1619778586
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address350 W WOODROW WILSON AVE STE 600Jackson, MS 39213-7627
Mailing AddressPo Box 11407Birmingham, AL 35246-2130 · (601) 815-6064
Organization SubpartNo
Authorized OfficialJeffrey GrimsleyAssociate Cfo - Clinical Operations · (601) 815-6270
Enumeration DateMarch 24, 2025
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1619778586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
350 W WOODROW WILSON AVE STE 600, Jackson, MS 39213

Secondary Practice Locations 2

Location 1764 Lakeland Dr Fl 4Jackson, MS 39216-4651 · Phone (601) 815-6700
Location 2124 UMMC WayRidgeland, MS 39157 · Phone (601) 815-6064

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

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.

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 13 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.