Central Mississippi Health Services, Inc - Medicare Primary Care in Jackson, MS

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Central Mississippi Health Services, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Jackson, Mississippi. The current practice location for Central Mississippi Health Services, Inc is 1134 Winter St, Jackson, Mississippi. For appointments, you can reach them via phone at (601) 948-5572. The mailing address for Central Mississippi Health Services, Inc is 1134 Winter St, Jackson, Mississippi and phone number is (601) 948-5572.

Central Mississippi Health Services, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1730120502. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 948-5572.

Contact Information

Central Mississippi Health Services, Inc
1134 Winter St
Jackson
MS 39204-2841
(601) 948-5572
(601) 353-7070

Map and Direction


Primary Care Clinic Profile

Full NameCentral Mississippi Health Services, Inc
SpecialityClinic/Center
Location1134 Winter St, Jackson, Mississippi
Authorized Official Name and PositionTerry Johnson (HUMAN RESOURCE MANAGER)
Authorized Official Contact6019485572
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Central Mississippi Health Services, Inc
1134 Winter St
Jackson
MS 39204-2841

Ph: (601) 948-5572		Central Mississippi Health Services, Inc
1134 Winter St
Jackson
MS 39204-2841

Ph: (601) 948-5572

NPI Details:

NPI Number1730120502
Provider Enumeration Date06/10/2006
Last Update Date04/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2961398029
Medicare Enrollment IDO20040225000632

Medical Identifiers

Medical identifiers for Central Mississippi Health Services, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730120502NPI-NPPES
09014156MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Central Mississippi Health Services, Inc acts as a billing entity for following providers:
Provider NameEdith F Smith Rayford
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1154359842
PECOS PAC ID: 9032005103
Enrollment ID: I20040225000716
Provider NameZina D Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134158579
PECOS PAC ID: 5193798916
Enrollment ID: I20040818001063
Provider NameRobert Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285663591
PECOS PAC ID: 1456247527
Enrollment ID: I20060425000003
Provider NameObie M Mcnair
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851321384
PECOS PAC ID: 0244271591
Enrollment ID: I20060425000197
Provider NameGeraldine Bates
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124032677
PECOS PAC ID: 8325041924
Enrollment ID: I20060822000150
Provider NameEurekia D Samuel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548459019
PECOS PAC ID: 4789753161
Enrollment ID: I20080527000694
Provider NameJanice E Bacon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1750438446
PECOS PAC ID: 9032306709
Enrollment ID: I20101209000936
Provider NameMyra A Wheaton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902972235
PECOS PAC ID: 6103903273
Enrollment ID: I20111026000802
Provider NameLionel B Fraser
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1609983725
PECOS PAC ID: 5890853741
Enrollment ID: I20120329000713
Provider NameMorlyn Russell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992070825
PECOS PAC ID: 3870754146
Enrollment ID: I20120412000595
Provider NameDenetta D Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992149348
PECOS PAC ID: 6002047834
Enrollment ID: I20140320000973
Provider NameTamara C Winfield
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467600817
PECOS PAC ID: 2466634951
Enrollment ID: I20140528001535
Provider NameEdgar Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518361922
PECOS PAC ID: 0345565792
Enrollment ID: I20150206001551
Provider NameShaquita Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376948075
PECOS PAC ID: 8022396936
Enrollment ID: I20161027002050
Provider NameTrevalla Kaye Lindsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538697453
PECOS PAC ID: 8820356843
Enrollment ID: I20171221001211
Provider NameTressa Ann Matthews
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992269088
PECOS PAC ID: 8022359975
Enrollment ID: I20190403000977
Provider NameZipora Martin-brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912471939
PECOS PAC ID: 5092057414
Enrollment ID: I20190503000901
Provider NameMontoyae Leavy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003392416
PECOS PAC ID: 7810229796
Enrollment ID: I20191025000621
Provider NameKeneisha Dean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295344224
PECOS PAC ID: 3274952205
Enrollment ID: I20200924002058
Provider NameJanice Np Tillman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497380711
PECOS PAC ID: 4688078397
Enrollment ID: I20210803001376
Provider NameShardale Mcafee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891226346
PECOS PAC ID: 5395091193
Enrollment ID: I20210818003299
Provider NameAnnisha Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851940951
PECOS PAC ID: 2668863937
Enrollment ID: I20211221000432
Provider NameAngela Carr Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841916806
PECOS PAC ID: 9032574298
Enrollment ID: I20230424001524

Reviews and Comments


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Ben W. Seale, M.d., Pllc
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Phone: 601-948-5158    Fax: 601-949-6058
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Phone: 601-376-2561    Fax: 601-376-2570
Quad Intermed Company Llc
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Medicare: Not Enrolled in Medicare
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Phone: 601-957-3333    
Vanessa L. Sandifer, M.d., Pllc
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Medicare: Not Enrolled in Medicare
Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216
Phone: 601-948-5158    Fax: 601-949-6058

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.