THE VILLAGE CLINIC
NPI 1699005983
Family Medicine in Jackson, MS

Active since January 08, 2010
386 RAYMOND RD, BUILDING 30, JACKSON, MS 39204(601) 982-0673(601) 982-0459 Get Directions Write a Review

NPPES record last updated: January 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Village Clinic NPPES

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

THE VILLAGE CLINIC (NPI 1699005983) is a healthcare organization registered as a family medicine in Jackson, Mississippi and active in the NPI registry since January 2010. The organization lists Christal Rogers, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1699005983
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMALL SERVICES, LLC
Location Address386 RAYMOND RD, BUILDING 30Jackson, MS 39204-3700
Mailing Address350 W Woodrow Wilson Ave, Suite 615Jackson, MS 39213-7681 · (601) 982-0673 · Fax (601) 982-0459
Fax(601) 982-0459
Organization SubpartNo
Authorized OfficialChristal RogersClinic Manager · (601) 952-0673
Enumeration DateJanuary 8, 2010
NPI 1699005983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
386 RAYMOND RD, Jackson, MS 39204

Other Names 1

Doing Business AsThe Village Clinic

Other Identifiers 9

Medicare PIN512I080303MS
Medicare OSCAR/certification251964MS
Medicaid00122194MS
Medicaid04135059MS
Medicare PINC02181MS
Medicare UPINC03785MS
Medicare UPINH12744MS
Medicaid00122254MS
Medicare PIN1457562175MS

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

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

Clinic/Center (Federally Qualified Health Center (FQHC))
386 RAYMOND RD
JACKSON, MS 39204

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 Mall Services, LLC's NPI number?

The NPI number for Mall Services, LLC is 1699005983. It was assigned to this organization in the NPPES registry on January 8, 2010. The provider is doing business as The Village Clinic.

Where is Mall Services, LLC located?

Mall Services, LLC is located at 386 Raymond Rd Building 30, Jackson, MS 39204. The listed phone number is (601) 982-0673.

What is Mall Services, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mall Services, LLC was last updated on January 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.