CENTERWELL SENIOR PRIMARY CARE-JACKSON EAST
Medicare Clinicians for NPI 1710693619
Internal Medicine in Jackson, MS

Active since January 25, 2023CLIA 25D2278595 · Waiver
1220 E NORTHSIDE DR STE 220, JACKSON, MS 39211(601) 298-4173(877) 866-2356 Get Directions

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2024, Aug 11, 2023, Feb 23, 2023 and 1 more (4 updates tracked since 2023).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Centerwell Senior Primary Care-Jackson East in Jackson, MS bills Medicare for 27 clinicians across 4 Medicare specialties. The largest specialties are Nurse Practitioner with 11, Cardiovascular Disease (Cardiology) with 9 and Family Practice with 6. Of these, 4 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

27Clinicians
4Medicare specialties
27PECOS enrolled
24Accept Medicare
27 clinicians in 4 specialties

Nurse Practitioner (11)

Nurse Practitioner
NPI 1295396661
1220 E NORTHSIDE DR STE 220
Jackson, MS 39211
(601) 298-4173
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1902471006
1220 E NORTHSIDE DR STE 220
Jackson, MS 39211
(601) 298-4173
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1194284430
971 LAKELAND DR STE 661
Jackson, MS 39216
(601) 200-2280
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1790072288
4890 HIGHWAY 18 W
Jackson, MS 39209
(601) 301-5385
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1194745315
1014 ROSE ST SUITE A
Prentiss, MS 39474
(601) 792-2200
✔ PECOS✔ Accepts Medicare55 mi
Nurse Practitioner
NPI 1467799494
12057 HIGHWAY 49 STE C
Gulfport, MS 39503
(228) 832-9385
✔ PECOS✔ Accepts Medicare145 mi
Nurse Practitioner
NPI 1386269629
12057 HIGHWAY 49 STE C
Gulfport, MS 39503
(228) 832-9385
✔ PECOS✔ Accepts Medicare145 mi
Nurse Practitioner
NPI 1316419245
2650 BEACH BLVD STE 40
Biloxi, MS 39531
(228) 273-4611
✔ PECOS✔ Accepts Medicare152 mi
Nurse Practitioner
NPI 1013743152
2650 BEACH BLVD STE 40
Biloxi, MS 39531
(228) 273-4611
✔ PECOS✔ Accepts Medicare152 mi
Nurse Practitioner
NPI 1942938485
2650 BEACH BLVD STE 40
Biloxi, MS 39531
(228) 273-4611
✔ PECOS✔ Accepts Medicare152 mi
Nurse Practitioner
NPI 1639695497
8440 WALNUT HILL LN STE 700
Dallas, TX 75231
(214) 361-3300
✔ PECOS✔ Accepts Medicare387 mi

Cardiovascular Disease (Cardiology) (9)

Cardiovascular Disease (Cardiology)
NPI 1457642647
2727 W HOLCOMBE BLVD
Houston, TX 77025
(713) 442-0000
✔ PECOS✔ Accepts Medicare362 mi
Cardiovascular Disease (Cardiology)
NPI 1720387269
6500 WEST LOOP S STE 200F
Bellaire, TX 77401
(713) 572-8122
✔ PECOS✔ Accepts Medicare364 mi
Cardiovascular Disease (Cardiology)
NPI 1023231073
19401 E 39TH ST S
Independence, MO 64057
(816) 490-4277
✔ PECOS✔ Accepts Medicare518 mi
Cardiovascular Disease (Cardiology)
NPI 1437443637
19401 E 39TH ST S
Independence, MO 64057
(816) 490-4277
✔ PECOS✔ Accepts Medicare518 mi
Cardiovascular Disease (Cardiology)
NPI 1922298868
1320 ROBERTS DR STE 101
Jacksonville Beach, FL 32250
(904) 241-7147
✔ PECOS✔ Accepts Medicare537 mi
Cardiovascular Disease (Cardiology)
NPI 1649558230
6777 W MAPLE RD
West Bloomfield, MI 48322
(248) 325-1000
✔ PECOS✔ Accepts Medicare793 mi
Cardiovascular Disease (Cardiology)
NPI 1255385589
252 CHAPMAN ROAD SUITE 150
Newark, DE 19702
(302) 623-1929
✔ PECOS953 mi
Cardiovascular Disease (Cardiology)
NPI 1245228139
3400 CIVIC CENTER BOULEVARD EAST PAVILION, 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts Medicare985 mi
Cardiovascular Disease (Cardiology)
NPI 1649253998
246 HAMBURG TPKE SUITE 201
Wayne, NJ 07470
(973) 942-1141
✔ PECOS✔ Accepts Medicare1,063 mi

Family Practice (6)

Family Practice
NPI 1124180567
5606 OLD CANTON RD
Jackson, MS 39211
(601) 957-3333
✔ PECOS✔ Accepts Medicare1.9 mi
Family Practice
NPI 1437179967
4890 HIGHWAY 18 W
Jackson, MS 39209
(601) 301-5385
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1346726098
12057 HIGHWAY 49 STE C
Gulfport, MS 39503
(228) 832-9385
✔ PECOS✔ Accepts Medicare145 mi
Family Practice
NPI 1689692972
2650 BEACH BLVD STE 40
Biloxi, MS 39531
(228) 273-4611
✔ PECOS✔ Accepts Medicare152 mi
Family Practice
NPI 1992819197
2650 BEACH BLVD STE 40
Biloxi, MS 39531
(228) 273-4611
✔ PECOS152 mi
Family Practice
NPI 1346356862
2650 BEACH BLVD STE 40
Biloxi, MS 39531
(228) 273-4611
✔ PECOS✔ Accepts Medicare152 mi

Internal Medicine (1)

Internal Medicine
NPI 1508887977
66 PARK PLACE DR
Covington, LA 70433
(985) 875-5459
✔ PECOS132 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Centerwell Senior Primary Care-Jackson East appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.