Central Mississippi Civic Improvement Association, Inc - Medicare Primary Care in Jackson, MS

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Central Mississippi Civic Improvement Association, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Jackson, Mississippi. The current practice location for Central Mississippi Civic Improvement Association, Inc is 3502 W Northside Dr, Jackson, Mississippi. For appointments, you can reach them via phone at (601) 362-5321. The mailing address for Central Mississippi Civic Improvement Association, Inc is 3502 W Northside Dr, Jackson, Mississippi and phone number is (601) 362-5321.

Central Mississippi Civic Improvement Association, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134151442. 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) 362-5321.

Contact Information

Central Mississippi Civic Improvement Association, Inc
3502 W Northside Dr
Jackson
MS 39213-4454
(601) 362-5321
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCentral Mississippi Civic Improvement Association, Inc
SpecialityClinic/Center
Location3502 W Northside Dr, Jackson, Mississippi
Authorized Official Name and PositionJasmin Chapman (CEO)
Authorized Official Contact6013625321
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Central Mississippi Civic Improvement Association, Inc
3502 W Northside Dr
Jackson
MS 39213-4454

Ph: (601) 362-5321		Central Mississippi Civic Improvement Association, Inc
3502 W Northside Dr
Jackson
MS 39213-4454

Ph: (601) 362-5321

NPI Details:

NPI Number1134151442
Provider Enumeration Date07/07/2006
Last Update Date11/05/2018

Medicare PECOS Information:

Medicare PECOS PAC ID4183533235
Medicare Enrollment IDO20040128000125

Medical Identifiers

Medical identifiers for Central Mississippi Civic Improvement Association, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134151442NPI-NPPES
1548342611OtherMSNSC
09010015MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
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 Civic Improvement Association, Inc acts as a billing entity for following providers:
Provider NameRobert Woodruff
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1336220177
PECOS PAC ID: 9436129327
Enrollment ID: I20040728000993
Provider NameWillie J Lewis
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1972537041
PECOS PAC ID: 5890765796
Enrollment ID: I20040728001070
Provider NameJoel Flynt
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1376516849
PECOS PAC ID: 8022092873
Enrollment ID: I20040730000819
Provider NameKim Cooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750316881
PECOS PAC ID: 2062489370
Enrollment ID: I20040915001023
Provider NameJoy Jackson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811931454
PECOS PAC ID: 0345218632
Enrollment ID: I20040923001096
Provider NameRitha G Bookert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558559823
PECOS PAC ID: 2264492420
Enrollment ID: I20041013000426
Provider NameRosie L Walker-mcnair
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124109871
PECOS PAC ID: 3072564947
Enrollment ID: I20050208000780
Provider NamePaul M Rice
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1497888341
PECOS PAC ID: 9234174079
Enrollment ID: I20050622001137
Provider NameRita Gordon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235243569
PECOS PAC ID: 0446280713
Enrollment ID: I20050816000925
Provider NameTesia Shani Hall-hill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003036252
PECOS PAC ID: 6608807367
Enrollment ID: I20050823000669
Provider NameDebra Rice
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1770519142
PECOS PAC ID: 7719980218
Enrollment ID: I20060823000583
Provider NameKanisha L Meaders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376611087
PECOS PAC ID: 9133121627
Enrollment ID: I20070213000412
Provider NameDonna A Thomas Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760550990
PECOS PAC ID: 3779682380
Enrollment ID: I20070622000214
Provider NameLashondra J Farmer-whitlock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215134010
PECOS PAC ID: 3476647207
Enrollment ID: I20070924000478
Provider NameNobel D Attipoe
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1497864169
PECOS PAC ID: 0244297778
Enrollment ID: I20071219000120
Provider NameFelicia M Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356498422
PECOS PAC ID: 0547343204
Enrollment ID: I20080221000505
Provider NameElaine Hargrove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346429214
PECOS PAC ID: 2769567841
Enrollment ID: I20080313000339
Provider NameLinda D Johnson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417991985
PECOS PAC ID: 1951488022
Enrollment ID: I20080414000589
Provider NameEva M Henderson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033146725
PECOS PAC ID: 5890867741
Enrollment ID: I20080709000418
Provider NamePamelia Watson Mcgee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922042407
PECOS PAC ID: 5395812911
Enrollment ID: I20080924000324
Provider NameLynda F Jackson-assad
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790729119
PECOS PAC ID: 9638202567
Enrollment ID: I20100729000425
Provider NameRichard Rayford
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760496467
PECOS PAC ID: 9830297902
Enrollment ID: I20100908000267
Provider NameMaurice Mcshan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770597163
PECOS PAC ID: 4880887983
Enrollment ID: I20101021000719
Provider NameAqfa Sultana
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700076940
PECOS PAC ID: 9234311440
Enrollment ID: I20110309000757
Provider NameAmanda L Downard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467758573
PECOS PAC ID: 6709069776
Enrollment ID: I20110329000513
Provider NameSonia L Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922386218
PECOS PAC ID: 3870766132
Enrollment ID: I20111101000654
Provider NameKesha M Flantroy
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1164630349
PECOS PAC ID: 9234222076
Enrollment ID: I20111108000815
Provider NameAva Christian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902100654
PECOS PAC ID: 7315112919
Enrollment ID: I20111209000437
Provider NameStanitia W Davis
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1942463567
PECOS PAC ID: 4981879525
Enrollment ID: I20111209000775
Provider NameMarie E Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174803829
PECOS PAC ID: 4587826821
Enrollment ID: I20120502000201
Provider NameZenotha D Larry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659615557
PECOS PAC ID: 0143475798
Enrollment ID: I20130305000125
Provider NameLeah Smith
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841630076
PECOS PAC ID: 1557590726
Enrollment ID: I20140210001736
Provider NameRashandra F Laws
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639467921
PECOS PAC ID: 4981834868
Enrollment ID: I20140221000513
Provider NameLakendria Zollicoffer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154669786
PECOS PAC ID: 1850523291
Enrollment ID: I20140619000314
Provider NameValiparambil B Praveen Kumar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609141811
PECOS PAC ID: 1557524766
Enrollment ID: I20150205000484
Provider NameShari Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790003044
PECOS PAC ID: 8426376542
Enrollment ID: I20150421001173
Provider NameTammie Tillman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528445624
PECOS PAC ID: 8628388543
Enrollment ID: I20151105000946
Provider NameBenita J Myles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790129021
PECOS PAC ID: 8123324522
Enrollment ID: I20161216002202
Provider NameKishina S Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619424330
PECOS PAC ID: 5890070569
Enrollment ID: I20170320001247
Provider NameSherquita Johnson-banks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366991101
PECOS PAC ID: 8628344231
Enrollment ID: I20171026002458
Provider NameCandice L Coleman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073912366
PECOS PAC ID: 1557613114
Enrollment ID: I20181009002219
Provider NameCandace Nicole Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427556349
PECOS PAC ID: 9830443548
Enrollment ID: I20181115002868
Provider NameTritresher Sizer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700390184
PECOS PAC ID: 7911245733
Enrollment ID: I20190220001501
Provider NameApril Dawn Randle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699336628
PECOS PAC ID: 1759617699
Enrollment ID: I20190730002377
Provider NameJaleen D Sims
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073995098
PECOS PAC ID: 3870809114
Enrollment ID: I20190830000191
Provider NameApril Terrain Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275189938
PECOS PAC ID: 3870824238
Enrollment ID: I20191016001212
Provider NameJennifer N Henley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578037172
PECOS PAC ID: 4880025683
Enrollment ID: I20200512000428
Provider NameKiara D Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255999595
PECOS PAC ID: 3577988062
Enrollment ID: I20200730002985
Provider NameSonya M Brown-gibson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093294407
PECOS PAC ID: 7719303064
Enrollment ID: I20200817002904
Provider NamePatrecia Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992315212
PECOS PAC ID: 2668892134
Enrollment ID: I20201022000187
Provider NameMelissa Bradley
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1619350915
PECOS PAC ID: 0345652319
Enrollment ID: I20210504002670
Provider NameApril Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790295400
PECOS PAC ID: 1456750462
Enrollment ID: I20210525000691
Provider NameFelica Denise Banks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437720430
PECOS PAC ID: 2961807599
Enrollment ID: I20210819003825
Provider NameAnnisha Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851940951
PECOS PAC ID: 2668863937
Enrollment ID: I20211221000432
Provider NameDenisa Broome Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134871007
PECOS PAC ID: 7719374255
Enrollment ID: I20220502000012
Provider NameBritney Sandifer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578195293
PECOS PAC ID: 7517370737
Enrollment ID: I20220505000661
Provider NameJohn Patterson
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1710921135
PECOS PAC ID: 4587043278
Enrollment ID: I20220627002876
Provider NameRose Straughter
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1578599601
PECOS PAC ID: 2668855370
Enrollment ID: I20220812001940
Provider NameMelanie Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942928999
PECOS PAC ID: 6507241601
Enrollment ID: I20220909001113
Provider NameEvelyn Winford Collier
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1407979107
PECOS PAC ID: 5698139988
Enrollment ID: I20230920000780
Provider NameTracey Grayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336868371
PECOS PAC ID: 1951787290
Enrollment ID: I20230929000680
Provider NameDaniel Marth
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326569286
PECOS PAC ID: 6709292527
Enrollment ID: I20231014000403
Provider NameWillie Thompson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1760892830
PECOS PAC ID: 7012247976
Enrollment ID: I20231018000182
Provider NameDeidra Janiece Snell
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1811150766
PECOS PAC ID: 9830545151
Enrollment ID: I20231023003256
Provider NameMerri Ellison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780987032
PECOS PAC ID: 0547445462
Enrollment ID: I20231103002308
Provider NameJequetta Shureka Ilion Mclaurin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013698513
PECOS PAC ID: 9537517040
Enrollment ID: I20231122000335
Provider NameLa'tonya Jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144582099
PECOS PAC ID: 1759760499
Enrollment ID: I20231212001349
Provider NameKarishma Amin Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487218806
PECOS PAC ID: 6406187293
Enrollment ID: I20231218004013
Provider NameErika Lynn Coleman-goodloe
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1063427961
PECOS PAC ID: 7517302821
Enrollment ID: I20240227000696

Reviews and Comments


Clinic/Center in Jackson, MS

Ben W. Seale, M.d., Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216
Phone: 601-948-5158    Fax: 601-949-6058
Central Mississippi Health Services, Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209
Phone: 601-321-2400    
Hni Medical Services Of Mississippi, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 969 Lakeland Dr, Jackson, MS 39216
Phone: 601-200-2000    
Medical Care Associates Mobile Unit
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3855 Azalea Dr, Jackson, MS 39206
Phone: 601-366-9447    
The Wound Care Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
Phone: 601-376-2561    Fax: 601-376-2570
Quad Intermed Company Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5005 Old Canton Rd, Jackson, MS 39211
Phone: 601-957-3333    
Vanessa L. Sandifer, M.d., Pllc
Primary Care Clinic
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.