JACKSON NEUROSURGERY CLINIC, PLLC
NPI 1740364785
Specialist in Flowood, MS

Active since October 25, 2006
1080 RIVER OAKS DR, SUITE B-103, FLOWOOD, MS 39232(601) 366-1011(601) 932-6111 Get Directions Write a Review

NPPES record last updated: October 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2016, May 14, 2016, Feb 4, 2016 and 1 more (4 updates tracked since 2016).

About Jackson Neurosurgery Clinic, Pllc NPPES

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

JACKSON NEUROSURGERY CLINIC, PLLC (NPI 1740364785) is a healthcare organization registered as a specialist in Flowood, Mississippi and active in the NPI registry since October 2006. The organization lists Zoe Lewis, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1740364785
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACKSON NEUROSURGERY CLINIC, PLLC
Location Address1080 RIVER OAKS DR, SUITE B-103Flowood, MS 39232-9779
Mailing Address1080 River Oaks Dr, Suite B-103Flowood, MS 39232-9779 · (601) 366-1011 · Fax (601) 932-6111
Fax(601) 932-6111
Organization SubpartNo
Authorized OfficialZoe LewisPractice Administrator · (601) 321-1504
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 28, 20164 updates tracked since enumeration
NPI 1740364785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1080 RIVER OAKS DR, Flowood, MS 39232

Other Identifiers 4

Medicaid08288260MS
OtherC03059MS · Medicare Group
Medicare NSC5299460001MS
OtherCK4238MS · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1080 RIVER OAKS DR, SUITE B-103
FLOWOOD, MS 39232
Nurse Practitioner (Family)
1080 RIVER OAKS DR, STE B103
FLOWOOD, MS 39232

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 Jackson Neurosurgery Clinic, PLLC's NPI number?

The NPI number for Jackson Neurosurgery Clinic, PLLC is 1740364785. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Jackson Neurosurgery Clinic, PLLC located?

Jackson Neurosurgery Clinic, PLLC is located at 1080 River Oaks Dr Suite B-103, Flowood, MS 39232. The listed phone number is (601) 366-1011.

What is Jackson Neurosurgery Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Jackson Neurosurgery Clinic, PLLC accept?

Health plans from Molina Healthcare list Jackson Neurosurgery Clinic, PLLC 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 Jackson Neurosurgery Clinic, PLLC was last updated on October 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.