JACKSON HEART CLINIC. P.A.
NPI 1659318558
Internal Medicine - Cardiovascular Disease in Jackson, MS

Active since May 31, 2006CLIA Certified · 3 labs
970 LAKELAND DR, SUITE 61, JACKSON, MS 39216(601) 982-7850(601) 326-6278 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Heart Clinic. P.a. NPPES

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

JACKSON HEART CLINIC. P.A. (NPI 1659318558) is a healthcare organization registered as a cardiovascular disease in Jackson, Mississippi and active in the NPI registry since May 2006. The organization holds 3 active CLIA laboratory certificates and lists Stephanie S Egger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659318558
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJACKSON HEART CLINIC. P.A.
Location Address970 LAKELAND DR, SUITE 61Jackson, MS 39216-4640
Mailing Address970 Lakeland Dr, Suite 61Jackson, MS 39216-4640 · (601) 982-7850 · Fax (601) 326-6278
Fax(601) 326-6278
Organization SubpartNo
Authorized OfficialStephanie S EggerCeo · (601) 982-7850
Enumeration DateMay 31, 2006
Last NPPES UpdateApril 10, 2014
NPI 1659318558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
970 LAKELAND DR, Jackson, MS 39216

Other Identifiers 2

Medicare PINC00424MS
Medicaid09011314MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0966300

Jackson Heart Clinic · Jackson, MS
Active · expires Jul 13, 2028
CLIA Number25D0966300
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorJimmy D. Lott
Laboratory Phone(601) 982-7850
Laboratory LocationJackson Heart Clinic970 Lakeland Drive Suite 61, Jackson, MS 39216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2285182

Jackson Heart Clinic PA · Flowood, MS
Active · expires Jul 6, 2027
CLIA Number25D2285182
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorDr. David R. Young
Laboratory Phone(601) 982-7850
Laboratory LocationJackson Heart Clinic PA185 Medical Pkwy Ste 202, Flowood, MS 39232
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D1032453

Jackson Heart Clinic · Ridgeland, MS
Active · expires Oct 24, 2026
CLIA Number25D1032453
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorDr. David R. Young
Laboratory Phone(601) 982-7850
Laboratory LocationJackson Heart Clinic326 Commerce Center Drive, Suite 2000, Ridgeland, MS 39157
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Radiology (Radiation Oncology)
970 LAKELAND DR, SUITE 34
JACKSON, MS 39216
Nurse Practitioner (Acute Care)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Pain Medicine (Interventional Pain Medicine)
970 LAKELAND DR, SUITE 45
JACKSON, MS 39216
Obstetrics & Gynecology (Obstetrics)
970 LAKELAND DR, SUITE 43
JACKSON, MS 39216
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Otolaryngology
970 LAKELAND DR, SUITE 40
JACKSON, MS 39216
Clinic/Center (Ambulatory Surgical)
970 LAKELAND DR, SUITE 15
JACKSON, MS 39216
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216

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 Jackson Heart Clinic. P.A.'s NPI number?

The NPI number for Jackson Heart Clinic. P.A. is 1659318558. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Jackson Heart Clinic. P.A. located?

Jackson Heart Clinic. P.A. is located at 970 Lakeland Dr Suite 61, Jackson, MS 39216. The listed phone number is (601) 982-7850.

What is Jackson Heart Clinic. P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Jackson Heart Clinic. P.A. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Jackson Heart Clinic. P.A. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Jackson Heart Clinic. P.A. 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 Jackson Heart Clinic. P.A. was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.