OPTIMUM HEALTHCARE ASSOCIATES, PA
NPI 1891233276
Nurse Practitioner - Family in Jackson, MS

Active since February 06, 2017CLIA 25D2126281 · Waiver
5350 EXECUTIVE PL, SUITE 8, JACKSON, MS 39206(601) 927-1872(949) 607-3442 Get Directions Write a Review

NPPES record last updated: November 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2017, Feb 6, 2017 (2 updates tracked since 2017).

About Optimum Healthcare Associates, Pa NPPES

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

OPTIMUM HEALTHCARE ASSOCIATES, PA (NPI 1891233276), doing business as Optimum Healthcare Associates, Llc, is a healthcare organization registered as a family in Jackson, Mississippi and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Felisa Denise Wilson-simpson, Owner/ceo/np, as its authorized official.

NPPES Registry Identity

NPI1891233276
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOPTIMUM HEALTHCARE ASSOCIATES, PA
Location Address5350 EXECUTIVE PL, SUITE 8Jackson, MS 39206-4100
Mailing AddressPo Box 1906Madison, MS 39130-1906 · (601) 942-8447 · Fax (949) 607-3442
Fax(949) 607-3442
Organization SubpartNo
Authorized OfficialFelisa Denise Wilson-simpsonOwner/ceo/np · (601) 397-6236
Enumeration DateFebruary 6, 2017
Last NPPES UpdateNovember 22, 20172 updates tracked since enumeration
NPI 1891233276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R784445
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License R784445 (MS)
5350 EXECUTIVE PL, Jackson, MS 39206

Other Names 1

Former Legal Business NameOptimum Healthcare Associates, Llc

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 MULTIPLE SINGLE 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 25D2126281

Optimum Healthcare Associates PA · Ridgeland, MS
Active · expires Feb 22, 2027
CLIA Number25D2126281
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorFelisa D. Wilson-Simpson
Laboratory Phone(601) 397-6236
Laboratory LocationOptimum Healthcare Associates PA587 Hwy 51 Ste S, Ridgeland, MS 39157
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 Optimum Healthcare Associates, PA's NPI number?

The NPI number for Optimum Healthcare Associates, PA is 1891233276. It was assigned to this organization in the NPPES registry on February 6, 2017. The provider was formerly known as Optimum Healthcare Associates, LLC.

Where is Optimum Healthcare Associates, PA located?

Optimum Healthcare Associates, PA is located at 5350 Executive Pl Suite 8, Jackson, MS 39206. The listed phone number is (601) 927-1872.

What is Optimum Healthcare Associates, PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Optimum Healthcare Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2126281) is associated with this NPI, valid through February 22, 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 Optimum Healthcare Associates, PA was last updated on November 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.