UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1659803948
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 28, 2017

2500 N STATE ST, JACKSON, MS 39216(601) 984-5200(601) 984-2086 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2017, Mar 28, 2017 (2 updates tracked since 2017).

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About University Of Mississippi Medical Center NPPES

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

UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1659803948) is a healthcare organization registered as a student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2017. The organization lists Simone Shardae Moore, Pediatric Resident, as its authorized official.

NPPES Registry Identity

NPI1659803948

Entity TypeOrganization

Primary Taxonomy390200000X

Legal Business NameUNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address9057 Firetower RdPass Christian, MS 39571-9411 · (228) 223-1634

Phone(601) 984-5200

Fax(601) 984-2086

Organization SubpartNo

Authorized OfficialSimone Shardae MoorePediatric Resident · (228) 223-1634

Enumeration DateMarch 28, 2017

Last NPPES UpdateApril 12, 20172 updates tracked since enumeration

✔ NPI 1659803948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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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

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)