JACKSON NEUROSURGERY CLINIC PLLC NPI 1265768618

NPI Information

  • NPI: 1265768618
  • Provider Name: JACKSON NEUROSURGERY CLINIC PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 971 LAKELAND DR
    SUITE 1250
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 366-1011

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NPI Details

JACKSON NEUROSURGERY CLINIC PLLC is a specialist in Jackson, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JACKSON NEUROSURGERY CLINIC PLLC NPI is 1265768618. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

971 LAKELAND DR
SUITE 1250
JACKSON, MS
ZIP 39216-643
Phone: (601) 366-1011
Fax: (601) 366-7311

The provider's authorized official is Zoe Lewis .
The authorized official title is Practice Administrator and has the following contact phone number (601) 366-1011.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 5/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108288260MEDICAIDMISSISSIPPI
2C03059MEDICARE PINMISSISSIPPI
3CK4238OTHERMISSISSIPPIRAILROAD MEDICARE
45299460001MEDICARE NSCMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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