JACKSON HMA LLC (NPI# 1033163092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033163092 |
| Entity Type | Organization |
| Organization Name | JACKSON HMA LLC |
| Other Organization Name | MERIT HEALTH CENTRAL |
| Practice Address |
1850 Chadwick Dr Jackson MS 39204-3404 |
| Practice Telephone | 6013761000 |
| Practice Fax Number | 6013762821 |
| Mailing Telephone | 6013761000 |
| Mailing Fax Number | 6013762821 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 16240 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00220630 | 05 | |
| MS | BLUE CROSS | 000020613 | 01 |
| Other Name | Type Code |
|---|---|
| Merit Health Central | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345991 | Jackson Hma LLC | Clinical Medical Laboratory | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-04-21 |
| 1730550914 | Jackson Hma LLC | Registered Nurse | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2015-10-13 |
| 1912945775 | Jackson Hma LLC | Psychiatric Unit | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2006-06-03 |
| Street Address |
1850 CHADWICK DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969724 | Steven E Zachow | Radiology | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2005-06-01 |
| 1346847274 | Devon Allred | Specialist/Technologist, Other | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-10-05 |
| 1194345991 | Jackson Hma LLC | Clinical Medical Laboratory | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-04-21 |
| 1174166383 | Amanda Brittany Busch | Nurse Practitioner | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-10-21 |
| 1184183725 | Mary Arnetta Sangster | Spec/Tech, Cardiovascular | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-03-13 |
| 1265904593 | Matthew Burkhalter | Physician Assistant | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-27 |
| 1023580693 | John Tyler Mclendon | Nurse Anesthetist, Certified Registered | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-20 |
| 1720562820 | Caleb Creel | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-09-24 |
| 1508346222 | Veronica Barton | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-08-21 |
| 1730687740 | App of Mississippi Ed, LLC | Emergency Medicine | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| 1073588034 | Carelink of Jackson, A Community-owned Specialty Hospital | General Acute Care Hospital | 110 N. Elm Avenue, Jackson, MI 49202-3595 | 2006-02-22 |
| 1760921894 | University of Mississippi Medical Center | General Acute Care Hospital | 764 Lakeland Dr, 2nd Floor, Jackson, MS 39216-4651 | 2017-02-22 |
| 1629475348 | Mallory Miller | General Acute Care Hospital | 620 Skyline Dr, Jackson, TN 38301-3923 | 2014-11-24 |
| 1861833535 | University Hospital | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2013-07-10 |
| 1730480120 | Mississippi Baptist Medical Center, Inc. | General Acute Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2010-11-16 |
| 1497068639 | W.a. Foote Memorial Hospital | General Acute Care Hospital | 205 N East Ave, 7th Floor One Jackson Square, Jackson, MI 49201-1753 | 2010-07-16 |
| 1538472964 | The University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2010-07-14 |
| 1033349501 | University of Mississipi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2009-07-20 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.