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CHADWICK DRIVE CLINIC
NPI 1659556298
Specialist in Jackson, MS

Active since January 02, 2008CLIA 25D1025507 · Waiver
1824 HOSPITAL DR, JACKSON, MS 39204(601) 346-4586(601) 346-4587 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chadwick Drive Clinic NPPES

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

CHADWICK DRIVE CLINIC (NPI 1659556298) is a healthcare organization registered as a specialist in Jackson, Mississippi and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Yolanda W Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1659556298
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACKSON PEDIATRIC ASSOCIATES P A
Location Address1824 HOSPITAL DRJackson, MS 39204-3410
Mailing Address297 Highway 51 Ste BRidgeland, MS 39157-3423 · (601) 707-5381 · Fax (601) 737-5382
Phone(601) 346-4586
Fax(601) 346-4587
Organization SubpartYesParent: Jackson Pediatric Associates
Authorized OfficialYolanda W WilsonPresident · (601) 707-5381
Enumeration DateJanuary 2, 2008
Last NPPES UpdateNovember 15, 2011
✔ NPI 1659556298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 12555
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1824 HOSPITAL DR, Jackson, MS 39204
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Other Names 1

Doing Business AsChadwick Drive Clinic

Other Identifiers 1

Medicaid07325898MS

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 from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 25D1025507

Jackson Pediatric Associates PA · Jackson, MS
Active · expires May 9, 2028
CLIA Number25D1025507
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorYolanda Wilson
Laboratory Phone(601) 346-4586
Laboratory LocationJackson Pediatric Associates PA1824 Hospital Drive, Jackson, MS 39204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANA LORRAINE-JONES CARBO BRYANT M. D.
Pediatrics
1824 HOSPITAL DR
JACKSON, MS 39204
Hinds County (601) 346-4586
CRAIG DAMON HENRY MSN, APRN, FNP-C
Nurse Practitioner (Family)
1824 HOSPITAL DR
JACKSON, MS 39204
Hinds County (601) 346-4586
DR. DANA LANELL GRANT M.D.
Pediatrics
1824 HOSPITAL DR
JACKSON, MS 39204
Hinds County (601) 346-4586

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 Pediatric Associates P A's NPI number?

The NPI number for Jackson Pediatric Associates P A is 1659556298. It was assigned to this organization in the NPPES registry on January 2, 2008. The provider is doing business as Chadwick Drive Clinic.

Where is Jackson Pediatric Associates P A located?

Jackson Pediatric Associates P A is located at 1824 Hospital Dr, Jackson, MS 39204. The listed phone number is (601) 346-4586.

What is Jackson Pediatric Associates P A's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Jackson Pediatric Associates P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1025507) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Pediatric Associates 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 1 other insurer list Jackson Pediatric Associates 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 Pediatric Associates P A was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.