CENTRAL MISSISSIPPI HEALTH SERVICES, INC
NPI 1730120502
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, MS
About Central Mississippi Health Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL MISSISSIPPI HEALTH SERVICES, INC (NPI 1730120502) is a healthcare organization registered as a federally qualified health center (fqhc) in Jackson, Mississippi and active in the NPI registry since June 2006. The organization lists Terry Johnson, Human Resource Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Mississippi Health Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Central Mississippi Health Services, Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 16 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (20)
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 Central Mississippi Health Services, Inc's NPI number?
The NPI number for Central Mississippi Health Services, Inc is 1730120502. It was assigned to this organization in the NPPES registry on June 10, 2006.
Where is Central Mississippi Health Services, Inc located?
Central Mississippi Health Services, Inc is located at 1134 Winter St, Jackson, MS 39204. The listed phone number is (601) 948-5572.
What is Central Mississippi Health Services, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Central Mississippi Health Services, Inc enrolled in Medicare?
Yes. Central Mississippi Health Services, Inc is registered in the Medicare PECOS enrollment system.
When is Central Mississippi Health Services, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Central Mississippi Health Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to Central Mississippi Health Services, Inc. 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 (10), Family Practice (4) and Internal Medicine (2). Of these, 6 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Central Mississippi Health Services, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Central Mississippi Health Services, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Central Mississippi Health Services, Inc was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Central Mississippi Health Services, Inc · NPI 1730120502
Federally Qualified Health Center (FQHC) organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since June 10, 2006.
## Identity
- **NPI:** 1730120502 (Entity type: Organization)
- **Enumerated:** June 10, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Terry Johnson, HUMAN RESOURCE MANAGER
## Practice location
- **Address:** 1134 WINTER ST, Jackson, MS 39204-2841
- **Phone:** (601) 948-5572 · **Fax:** (601) 353-7070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (4), Internal Medicine (2); 6 practice at this address and 16 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2022
- **Other identifiers:** Medicaid 09014156 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1730120502) · Data from the CMS NPPES public registry.