1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Special Hospital
  6. NPI Profile

SONNY MONTGOMER VAMC
NPI 1851730121
Special Hospital in Jackson, MS

Active since June 20, 2013
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sonny Montgomer Vamc NPPES

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

SONNY MONTGOMER VAMC (NPI 1851730121) is a healthcare organization registered as a special hospital in Jackson, Mississippi and active in the NPI registry since June 2013. The organization lists Micah Dickson Taylor, Outpatient Lcsw, as its authorized official.

NPPES Registry Identity

NPI1851730121
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameSONNY MONTGOMER VAMC
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing Address1500 E Woodrow Wilson AveJackson, MS 39216-5116 · (601) 362-4471
Phone(601) 362-4471
Organization SubpartNo
Authorized OfficialMicah Dickson TaylorOutpatient Lcsw · (601) 362-4471
Enumeration DateJune 20, 2013
✔ NPI 1851730121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
License✔ Licensed in MS · C6323
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
1500 E WOODROW WILSON AVE, Jackson, MS 39216
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MELISSA ALLENE GRAIG RN
Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
DR. ELIZABETH NOSEN PH.D.
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
WHITNEY ROWELL GERBER
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1352
MS. SANDRA TERRY-TURNER RPH
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MR. GLENN D SHAW R.PH.
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1555
MRS. ANGELA A. CAUSEY MS, RD
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
SONNY MONTGOMERY V A M EDICAL CENTER
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MRS. MOLLY WILLIS HOKE LCSW
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 352-4471

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 Sonny Montgomer Vamc's NPI number?

The NPI number for Sonny Montgomer Vamc is 1851730121. It was assigned to this organization in the NPPES registry on June 20, 2013.

Where is Sonny Montgomer Vamc located?

Sonny Montgomer Vamc is located at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Sonny Montgomer Vamc's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

When was this NPI record last updated?

The NPPES record for Sonny Montgomer Vamc was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.