MISSISSIPPI ASTHMA & ALLERGY CLINIC PA
NPI 1902882251
Allergy & Immunology in Jackson, MS
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
Specialties & Licenses
Other Identifiers 8
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mississippi Asthma & Allergy Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Mississippi Asthma & Allergy Clinic PA, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (15)
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 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.
Is Mississippi Asthma & Allergy Clinic PA enrolled in Medicare?
Yes. Mississippi Asthma & Allergy Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mississippi Asthma & Allergy Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Mississippi Asthma & Allergy Clinic PA. 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 Allergy/Immunology (14) and Internal Medicine (1). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mississippi Asthma & Allergy Clinic PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 Asthma & Allergy Clinic Pa · NPI 1902882251
Allergy & Immunology organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since December 19, 2005.
## Identity
- **NPI:** 1902882251 (Entity type: Organization)
- **Enumerated:** December 19, 2005
- **Primary specialty:** Allergy & Immunology · taxonomy 207K00000X
- **Organization subpart:** No
- **Authorized official:** David Moak, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 1513 LAKELAND DR, STE 100, Jackson, MS 39216-4829
- **Phone:** (601) 354-4836 · **Fax:** (601) 354-2619
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Allergy/Immunology (14), Internal Medicine (1); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2010
- **Other identifiers:** Other 030001646 (MS); Medicare PIN 030000016; Other P00236071 (MS); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902882251) · Data from the CMS NPPES public registry.