CENTRAL JACKSON FAMILY CLINIC
NPI 1710280557
Clinic/Center - Medical Specialty in Jackson, MS

NPI Status: Active since December 17, 2010

Contact Information

514C E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 981-7198
Fax: (601) 981-6616

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  • Organization
  • Clinic/Center
  • Medical Specialty

About CENTRAL JACKSON FAMILY CLINIC

This page provides the complete NPI Profile along with additional information for Central Jackson Family Clinic, a provider established in Jackson, Mississippi operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1710280557 assigned on December 2010. The practitioner's primary taxonomy code is 261QM2500X with license number 13653 (MS). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Central Jackson Family Clinic. The authorized official of this NPI record is Cassandra Faye Thomas M.d. (Owner)

NPI
1710280557
Provider Legal Name
CASSANDRA F THOMAS
Other Organization Name
CENTRAL JACKSON FAMILY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
514C E WOODROW WILSON AVE JACKSON, MS 39216
Location Phone
(601) 981-7198
Location Fax
(601) 981-6616
Mailing Address
514C E WOODROW WILSON AVE JACKSON, MS 39216
Mailing Phone
(601) 981-7198
Mailing Fax
(601) 981-6616
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2010
Last Update Date
12-17-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
13653
License State
MS
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CASSANDRA FAYE THOMAS M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(601) 981-7198

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710280557, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 4 + 8 + 0 + 5 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1710280557.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
514C E WOODROW WILSON AVE
JACKSON, MS 39216
Nurse Practitioner
514C E WOODROW WILSON AVE
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710280557, enumerated as an "organization" on December 17, 2010.

The provider is located at 514C E WOODROW WILSON AVE JACKSON, MS 39216 and the phone number is (601) 981-7198.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.