JACKSON NEUROCARE, PLLC
NPI 1770987638
Psychiatry & Neurology - Neurology in Jackson, MS

Q: What is Jackson Neurocare, PLLC's NPI number?

The NPI number for Jackson Neurocare, PLLC is 1770987638. It was assigned to this organization in the NPPES registry on October 21, 2014.

Q: What is Jackson Neurocare, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since October 21, 2014

971 LAKELAND DRIVE, SUITE 557, WEST TOWER, JACKSON, MS 39216(601) 939-0361(601) 939-5210 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jackson Neurocare, Pllc NPPES

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

JACKSON NEUROCARE, PLLC (NPI 1770987638) is a healthcare organization registered as a neurology in Jackson, Mississippi and active in the NPI registry since October 2014. The organization lists Ruth Kellum Fredericks, Owner, as its authorized official.

NPPES Registry Identity

NPI1770987638

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameJACKSON NEUROCARE, PLLC

Location Address971 LAKELAND DRIVE, SUITE 557, WEST TOWERJackson, MS 39216-4607

Mailing Address971 Lakeland Drive, Suite 557, West TowerJackson, MS 39216-4607 · (601) 939-0361 · Fax (601) 939-5210

Phone(601) 939-0361

Fax(601) 939-5210

Organization SubpartNo

Authorized OfficialRuth Kellum FredericksOwner · (601) 939-0361

Enumeration DateOctober 21, 2014

✔ NPI 1770987638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MS · 11722

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

971 LAKELAND DRIVE, Jackson, MS 39216

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

VANESSA L. SANDIFER, M.D., PLLC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

971 LAKELAND DRIVE, SUITE 450
JACKSON, MS 39216

Hinds County (601) 948-5158

DR. DAVID GLEN MCHENRY MD

Psychiatry & Neurology (Neurology)

971 LAKELAND DRIVE, SUITE 557
JACKSON, MS 39216

Hinds County (601) 200-4560

MRS. ANNA MARIE KETCHUM RNP

Nurse Practitioner (Family)

971 LAKELAND DRIVE, STE 1052
JACKSON, MS 39216

Hinds County (601) 981-9503

DR. DAVID E SEAGO DMD

Dentist (Oral and Maxillofacial Surgery)

971 LAKELAND DRIVE, SUITE 225
JACKSON, MS 39216

Hinds County (601) 366-7324

MUSCLE AND NERVE PA

Psychiatry & Neurology (Clinical Neurophysiology)

971 LAKELAND DRIVE, SUITE 560
JACKSON, MS 39216

Hinds County (601) 982-9826

LAURA S CARROLL CFNP

Nurse Practitioner (Family)

971 LAKELAND DRIVE, SUITE 1157
JACKSON, MS 39216

Hinds County (601) 362-6900

DR. STEPHEN R GANDY DMD

Dentist (Oral and Maxillofacial Surgery)

971 LAKELAND DRIVE, SUITE 225
JACKSON, MS 39216

Hinds County (601) 366-7324

JONATHAN ROSS ADKINS MD

Surgery

971 LAKELAND DRIVE, SUITE 1460
JACKSON, MS 39216

Hinds County (601) 982-3202

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 Neurocare, PLLC's NPI number?

The NPI number for Jackson Neurocare, PLLC is 1770987638. It was assigned to this organization in the NPPES registry on October 21, 2014.

Where is Jackson Neurocare, PLLC located?

Jackson Neurocare, PLLC is located at 971 Lakeland Drive Suite 557, West Tower, Jackson, MS 39216. The listed phone number is (601) 939-0361.

What is Jackson Neurocare, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Jackson Neurocare, PLLC was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.