MISSISSIPPI UROLOGY CLINIC, PLLC
NPI 1902837313
Urology in Jackson, MS
About Mississippi Urology Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSISSIPPI UROLOGY CLINIC, PLLC (NPI 1902837313) is a healthcare organization registered as an urology in Jackson, Mississippi and active in the NPI registry since July 2006. The organization lists Jerry Kempf Poole, Chief Administrative Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mississippi Urology Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Mississippi Urology Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mississippi Urology Clinic, PLLC's NPI number?
The NPI number for Mississippi Urology Clinic, PLLC is 1902837313. It was assigned to this organization in the NPPES registry on July 5, 2006.
Where is Mississippi Urology Clinic, PLLC located?
Mississippi Urology Clinic, PLLC is located at 501 Marhsall St Suite 301, Jackson, MS 39202. The listed phone number is (601) 353-9900.
What is Mississippi Urology Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Mississippi Urology Clinic, PLLC enrolled in Medicare?
Yes. Mississippi Urology Clinic, PLLC is registered in the Medicare PECOS enrollment system.
When is Mississippi Urology Clinic, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mississippi Urology Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Mississippi Urology Clinic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (7), Nurse Practitioner (5) and Nuclear Medicine (1). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mississippi Urology Clinic, PLLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 36 other insurers list Mississippi Urology 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 Mississippi Urology Clinic, PLLC was last updated on October 11, 2018. 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.
# Mississippi Urology Clinic, Pllc · NPI 1902837313
Urology organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1902837313 (Entity type: Organization)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Jerry Poole, CHIEF ADMINISTRATIVE OFFICER
## Practice location
- **Address:** 501 MARHSALL ST, SUITE 301, Jackson, MS 39202
- **Phone:** (601) 353-9900 · **Fax:** (601) 985-3199
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (7), Nurse Practitioner (5), Nuclear Medicine (1); 11 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2018
- **Other identifiers:** Other CD5655 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1902837313) · Data from the CMS NPPES public registry.