MISSISSIPPI ASTHMA & ALLERGY CLINIC PA
NPI 1902882251
Allergy & Immunology in Jackson, MS

Active since December 19, 2005
1513 LAKELAND DR, STE 100, JACKSON, MS 39216(601) 354-4836(601) 354-2619 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mississippi Asthma & Allergy Clinic Pa NPPES

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

MISSISSIPPI ASTHMA & ALLERGY CLINIC PA (NPI 1902882251) is a healthcare organization registered as an allergy & immunology in Jackson, Mississippi and active in the NPI registry since December 2005. The organization lists David L Moak, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1902882251
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameMISSISSIPPI ASTHMA & ALLERGY CLINIC PA
Location Address1513 LAKELAND DR, STE 100Jackson, MS 39216-4829
Mailing Address1513 Lakeland Dr, Ste 101Jackson, MS 39216-4829 · (601) 354-4836 · Fax (601) 354-2619
Fax(601) 354-2619
Organization SubpartNo
Authorized OfficialDavid L MoakPractice Administrator · (601) 354-4836
Enumeration DateDecember 19, 2005
Last NPPES UpdateFebruary 16, 2010
NPI 1902882251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

1513 LAKELAND DR, Jackson, MS 39216

Other Identifiers 8

Other030001646MS · Rr Medicare
Medicare PIN030000016
OtherP00236071MS · Rr Medicare
Medicare PIN030000037
Other030002483MS · Rr Medicare
Other030003287MS · Rr Medicare
Medicare PIN030000004
Medicare PIN030000017

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

Accepted Insurance

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.

Counselor (Mental Health)
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Analyst
1513 LAKELAND DR
JACKSON, MS 39216
Dentist
1513 LAKELAND DR, SUITE 201
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Allergy & Immunology
1513 LAKELAND DR, SUITE 101
JACKSON, MS 39216
Counselor (Professional)
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216

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 Asthma & Allergy Clinic PA's NPI number?

The NPI number for Mississippi Asthma & Allergy Clinic PA is 1902882251. It was assigned to this organization in the NPPES registry on December 19, 2005.

Where is Mississippi Asthma & Allergy Clinic PA located?

Mississippi Asthma & Allergy Clinic PA is located at 1513 Lakeland Dr Ste 100, Jackson, MS 39216. The listed phone number is (601) 354-4836.

What is Mississippi Asthma & Allergy Clinic PA's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

What insurance does Mississippi Asthma & Allergy Clinic PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Mississippi Asthma & Allergy Clinic PA 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 Asthma & Allergy Clinic PA was last updated on February 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.