COMMONWEALTH APARTMENT COMPLEX
NPI 1689047292
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, MS

Active since November 04, 2015
3930 SKYVIEW DR, JACKSON, MS 39213(601) 364-5142 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Commonwealth Apartment Complex NPPES

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

COMMONWEALTH APARTMENT COMPLEX (NPI 1689047292) is a healthcare organization registered as a federally qualified health center (fqhc) in Jackson, Mississippi and active in the NPI registry since November 2015. The organization lists Jasmin Chapman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1689047292
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC
Location Address3930 SKYVIEW DRJackson, MS 39213-5318
Mailing Address3502 W Northside DrJackson, MS 39213-4454
Organization SubpartNo
Authorized OfficialJasmin ChapmanChief Executive Officer · (601) 364-5142
Enumeration DateNovember 4, 2015
NPI 1689047292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3930 SKYVIEW DR, Jackson, MS 39213

Other Names 1

Doing Business AsCommonwealth Apartment Complex

Accepted 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 25D2105465

Commonwealth Apartment Complex · Jackson, MS
Expired · Nov 23, 2025
CLIA Number25D2105465
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 24, 2023
Certificate Expiration DateNovember 23, 2025
Laboratory DirectorAyanna Jenkins
Laboratory Phone(601) 364-5142
Laboratory LocationCommonwealth Apartment Complex3930 Skyview Drive, Jackson, MS 39213
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689047292, enumerated as an "organization" on November 04, 2015.

The provider is located at 3930 SKYVIEW DR JACKSON, MS 39213 and the phone number is (601) 364-5142.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.