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MITZI FERGUSON, MD, LLC
NPI 1952687717
General Practice in Jackson, MS

Active since October 25, 2011
4500 I 55 N, SUITE 215, JACKSON, MS 39211(601) 212-0955 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mitzi Ferguson, Md, Llc NPPES

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

MITZI FERGUSON, MD, LLC (NPI 1952687717) is a healthcare organization registered as a general practice in Jackson, Mississippi and active in the NPI registry since October 2011. The organization lists Susan C. Kerley, Credentialing/billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1952687717
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMITZI FERGUSON, MD, LLC
Location Address4500 I 55 N, SUITE 215Jackson, MS 39211-5930
Mailing Address1990 Petit Bois St NJackson, MS 39211-6707 · (601) 957-7344
Phone(601) 212-0955
Organization SubpartNo
Authorized OfficialSusan C. KerleyCredentialing/billing Specialist · (601) 957-7340
Enumeration DateOctober 25, 2011
✔ NPI 1952687717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MS · 09298
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4500 I 55 N, Jackson, MS 39211
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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

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.

JAMIE M AUSTIN OTR/L
Occupational Therapist
4500 I 55 N, SUITE 291, HIGHLAND VILLAGE
JACKSON, MS 39211
Hinds County (601) 362-0859
SHARONDA TURNER
Speech-Language Pathologist
4500 I 55 N, SUITE 291
JACKSON, MS 39211
Hinds County (601) 362-0859
SHERRY BOULDIN LPC
Counselor (Professional)
4500 I 55 N, SUITE 220
JACKSON, MS 39211
Hinds County (601) 927-8729
MRS. CHERYL DIANNE HAWLEY MA/CCC/SLP
Speech-Language Pathologist
4500 I 55 N, HIGHLAND VILLAGE STE 291
JACKSON, MS 39211
Hinds County (601) 362-0859
CAMILLE SANDIFER, DMD, MSD INC
Dentist (Orthodontics and Dentofacial Orthopedics)
4500 I 55 N, HIGHLAND VILLAGE #247
JACKSON, MS 39211
Hinds County (601) 981-5004
SHONTIA VASH'E MORRIS LPC
Counselor (Professional)
4500 I 55 N, SUITE 220
JACKSON, MS 39211
Hinds County (601) 613-7569
LEAH VERNON LPC
Counselor (Professional)
4500 I 55 N
JACKSON, MS 39211
Hinds County (601) 405-7440
MRS. STEPHANIE LYNN ALLMAN M.S.
Speech-Language Pathologist
4500 I 55 N, HIGHLAND VILLAGE STE 291
JACKSON, MS 39211
Hinds County (601) 362-0859

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 Mitzi Ferguson, MD, LLC's NPI number?

The NPI number for Mitzi Ferguson, MD, LLC is 1952687717. It was assigned to this organization in the NPPES registry on October 25, 2011.

Where is Mitzi Ferguson, MD, LLC located?

Mitzi Ferguson, MD, LLC is located at 4500 I 55 N Suite 215, Jackson, MS 39211. The listed phone number is (601) 212-0955.

What is Mitzi Ferguson, MD, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mitzi Ferguson, MD, LLC was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.