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

EAR NOSE & THROAT SURGICAL GROUP
NPI 1881712057
Otolaryngology in Jackson, MS

Active since March 27, 2007CLIA 25D0953300 · Waiver
764 LAKELAND DRIVE, SUITE 200, JACKSON, MS 39216(601) 982-0611(601) 321-1647 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ear Nose & Throat Surgical Group NPPES

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

EAR NOSE & THROAT SURGICAL GROUP (NPI 1881712057) is a healthcare organization registered as an otolaryngology in Jackson, Mississippi and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Karen D Alford, Cfo Administrator, as its authorized official.

NPPES Registry Identity

NPI1881712057
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameEAR NOSE & THROAT SURGICAL GROUP
Location Address764 LAKELAND DRIVE, SUITE 200Jackson, MS 39216-4617
Mailing Address764 Lakeland Drive, Suite 200Jackson, MS 39216-4617 · (601) 982-0611 · Fax (601) 321-1647
Phone(601) 982-0611
Fax(601) 321-1647
Organization SubpartNo
Authorized OfficialKaren D AlfordCfo Administrator · (601) 321-1626
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881712057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
764 LAKELAND DRIVE, Jackson, MS 39216
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0953300

Ear Nose & Throat Surgical Group · Madison, MS
Active · expires Feb 24, 2027
CLIA Number25D0953300
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorDr. Jess C. Roberts
Laboratory Phone(601) 982-0611
Laboratory LocationEar Nose & Throat Surgical Group138 Park Place Blvd, Madison, MS 39110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ear Nose & Throat Surgical Group's NPI number?

The NPI number for Ear Nose & Throat Surgical Group is 1881712057. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Ear Nose & Throat Surgical Group located?

Ear Nose & Throat Surgical Group is located at 764 Lakeland Drive Suite 200, Jackson, MS 39216. The listed phone number is (601) 982-0611.

What is Ear Nose & Throat Surgical Group's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Ear Nose & Throat Surgical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0953300) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ear Nose & Throat Surgical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.