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

Active since May 31, 2006CLIA Certified · 2 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: October 25, 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 2 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
Phone(601) 982-7850
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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)

Jackson Heart Clinic. P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

50

Medicare enrollment records show 50 clinicians reassign Medicare billing to Jackson Heart Clinic. P.A., which bills Medicare for the services they deliver. Of these, 42 practice at this address and 49 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner21
Cardiovascular Disease (Cardiology)13
Interventional Cardiology9
Cardiac Electrophysiology6
Internal Medicine1

Nearest to this location (20)

See all 50
Valerie Bailey, N.P.-C.
Nurse Practitioner
NPI 1578793220
970 LAKELAND DR
Jackson, MS 39216
(601) 982-7850
✔ PECOSSame address
Amanda Barry, ACNP
Nurse Practitioner
NPI 1851575880
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Brett Bennett, MD
Interventional Cardiology
NPI 1538471842
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
James Bennett, MD
Interventional Cardiology
NPI 1760426670
970 LAKELAND DR SUITE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Andrew Brown, MD
Cardiovascular Disease (Cardiology)
NPI 1568825677
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Kayla Buchanan, RN, FNP-C
Nurse Practitioner
NPI 1730910621
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Philip Chustz, M.D.
Interventional Cardiology
NPI 1811198005
970 LAKELAND DR SUITE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Emily Cialone, FNP-C
Nurse Practitioner
NPI 1457117889
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Amanda Cocilova
Nurse Practitioner
NPI 1659772556
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Vernon Cotten, MD
Cardiovascular Disease (Cardiology)
NPI 1164466082
970 LAKELAND DR SUITE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
William Crowder, M.D.
Interventional Cardiology
NPI 1619919479
970 LAKELAND DR SUITE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Analise Douglas, M.D.
Interventional Cardiology
NPI 1396279451
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Richard Flowers, MD
Internal Medicine
NPI 1356364905
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Jordan Fryoux, MD
Cardiovascular Disease (Cardiology)
NPI 1831553700
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Michael Gary, MD
Cardiovascular Disease (Cardiology)
NPI 1851824270
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
James Hamilton Iv, MD
Cardiac Electrophysiology
NPI 1982801858
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Douglas Harkins, M.D.
Cardiovascular Disease (Cardiology)
NPI 1457376915
970 LAKELAND DR SUITE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Jimmy Lott, MD
Cardiac Electrophysiology
NPI 1548206717
970 LAKELAND DR SUITE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Sandra Mccearley, M.D.
Cardiac Electrophysiology
NPI 1861590457
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
Joseph Owen, M.D.
Cardiac Electrophysiology
NPI 1578753943
970 LAKELAND DR STE 61
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts MedicareSame address
See all 50 clinicians

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

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
Expired · 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.

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.

Is Jackson Heart Clinic. P.A. enrolled in Medicare?

Yes. Jackson Heart Clinic. P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Heart Clinic. P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 5 Medicare specialties reassign their Medicare billing to Jackson Heart Clinic. P.A.. 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 (21), Cardiovascular Disease (Cardiology) (13) and Interventional Cardiology (9). Of these, 42 practice at this address and 49 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. 2 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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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.