STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1699761064
Rehabilitation Unit in Jackson, MS

Active since September 21, 2005
2500 N STATE ST, JACKSON, MS 39216(866) 842-7574 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About State Of Mississippi - University Of Mississippi Medical Center NPPES

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

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1699761064) is a healthcare organization registered as a rehabilitation unit in Jackson, Mississippi and active in the NPI registry since September 2005. The organization lists David Putt, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1699761064
Entity TypeOrganization
Primary Taxonomy273Y00000X
Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (866) 842-7574 · Fax (601) 815-6301
Organization SubpartNo
Authorized OfficialDavid PuttChief Executive Officer · (601) 984-4173
Enumeration DateSeptember 21, 2005
Last NPPES UpdateApril 1, 2011
✔ NPI 1699761064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation UnitHospital Units
Taxonomy Code273Y00000X
Definition
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
2500 N STATE ST, Jackson, MS 39216

Other Identifiers 1

Medicare PIN25T001MS

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

State Of Mississippi - University Of Mississippi Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,924

Medicare enrollment records show 1,924 clinicians reassign Medicare billing to State Of Mississippi - University Of Mississippi Medical Center, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 1,234 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 67

Nurse Practitioner427
Pediatric Medicine204
Certified Registered Nurse Anesthetist (CRNA)155
Internal Medicine126
Anesthesiology110
Emergency Medicine108
Diagnostic Radiology95
Obstetrics/Gynecology69
59 other specialties630

Nearest to this location (20)

See all 1,924
Pediatric Medicine
NPI 1548259559
2500 N STATE ST
Jackson, MS 39216
(888) 815-2005
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1033154935
2500 N STATE ST
Jackson, MS 39216
(601) 984-5373
✔ PECOSSame address
Nurse Practitioner
NPI 1043249295
2500 NORTH STATE STREET
Jackson, MS 39216
(601) 815-4128
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013103613
2500 NORTH STATE STREET
Jackson, MS 39216
(601) 984-5500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225514045
2500 N STATE ST
Jackson, MS 39216
(601) 984-1000
✔ PECOSSame address
Geriatric Medicine
NPI 1013942895
2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
Jackson, MS 39216
(601) 984-6426
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083191340
2500 N STATE ST
Jackson, MS 39216
(601) 984-1000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871839555
2500 N STATE ST
Jackson, MS 39216
(601) 984-5900
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1043500739
2500 N STATE ST
Jackson, MS 39216
(601) 984-6426
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871917294
2500 N STATE ST DEPARTMENT OF ANESTHESIA
Jackson, MS 39216
(601) 984-5952
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023104288
2500 N STATE ST PFS
Jackson, MS 39216
(601) 984-4619
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1649613670
2500 N STATE ST
Jackson, MS 39216
(601) 815-1746
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1114173267
2500 N STATE ST
Jackson, MS 39216
(601) 984-1000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1003978081
2500 N STATE ST DEPARTMENT OF OB/GYN
Jackson, MS 39216
(601) 984-5358
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1013107762
2500 N STATE ST
Jackson, MS 39216
(601) 815-5615
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1497070312
2500 NORTH STATE STREET
Jackson, MS 39216
(601) 815-1196
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1760877112
2500 N. STATE ST. PEDIATRICS
Jackson, MS 39216
(601) 984-5200
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1982784468
2500 NORTH STATE STREET
Jackson, MS 39216
(601) 984-1530
✔ PECOSSame address
Pediatric Medicine
NPI 1043395239
2500 N STATE ST
Jackson, MS 39216
(601) 984-1000
✔ PECOSSame address
Pediatric Medicine
NPI 1427336528
2500 N STATE ST
Jackson, MS 39216
(248) 747-2125
✔ PECOSSame address
See all 1,924 clinicians

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

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 State Of Mississippi - University Of Mississippi Medical Center's NPI number?

The NPI number for State Of Mississippi - University Of Mississippi Medical Center is 1699761064. It was assigned to this organization in the NPPES registry on September 21, 2005.

Where is State Of Mississippi - University Of Mississippi Medical Center located?

State Of Mississippi - University Of Mississippi Medical Center is located at 2500 N State St, Jackson, MS 39216. The listed phone number is (866) 842-7574.

What is State Of Mississippi - University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Rehabilitation Unit with taxonomy code 273Y00000X.

Is State Of Mississippi - University Of Mississippi Medical Center enrolled in Medicare?

Yes. State Of Mississippi - University Of Mississippi Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through State Of Mississippi - University Of Mississippi Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,924 clinicians in 67 Medicare specialties reassign their Medicare billing to State Of Mississippi - University Of Mississippi Medical Center. 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 (427), Pediatric Medicine (204) and Certified Registered Nurse Anesthetist (CRNA) (155). Of these, 29 practice at this address and 1,234 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for State Of Mississippi - University Of Mississippi Medical Center was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.