CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. (NPI# 1033649058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033649058 |
| Entity Type | Organization |
| Organization Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. |
| Other Organization Name | JACKSON-HINDS COMPREHENSIVE HEALTH CENTER - PHYSICAL THERAPY |
| Practice Address |
3502 W Northside Dr Jackson MS 39213-4454 |
| Practice Telephone | 6013625321 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-12-22 |
| Authorized Official Name | JASMIN CHAPMAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6013645142 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Gary Road Elementary | Doing Business As Name - Organization |
| Jackson-Hinds Comprehensive Health Center - Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033687611 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 14050 Highway 18, Raymond, MS 39154-9795 | 2018-11-13 |
| 1023586609 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 417 Palestine St, Raymond, MS 39154-7618 | 2018-11-13 |
| 1316415292 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 560 Port Gibson St, Raymond, MS 39154-9746 | 2018-11-08 |
| 1750799383 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 235 W Beasley St, Terry, MS 39170-8154 | 2014-07-28 |
| 1467868372 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 7241 Gary Rd, Byram, MS 39272-8947 | 2014-07-11 |
| 1427377266 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 350 Woodrow Wilson Blvd, Jackson, MS 39213-4454 | 2010-05-19 |
| 1881628741 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 260 Highway 18, Utica, MS 39175 | 2006-07-10 |
| 1255360483 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 1655 Whiting Rd, Jackson, MS 39209-5826 | 2006-07-01 |
| 1770511370 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 146 E Ash St, Jackson, MS 39202-2217 | 2006-06-30 |
| 1659789360 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 2009 Byram Bulldog Blvd, Terry, MS 39170-8632 | 2014-07-25 |
| Street Address |
3502 W NORTHSIDE DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386559 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2005-12-07 |
| 1689217812 | Ebony Martin | Case Manager/Care Coordinator | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2019-10-21 |
| 1275189938 | April Terrain Perry | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213 | 2019-08-16 |
| 1013473891 | Ericia Latrice Cannon | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2019-02-16 |
| 1578037172 | Jennifer Henley | Internal Medicine | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2019-01-16 |
| 1003388968 | Tiffani Ricchele Mcknight | Social Worker | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2018-12-17 |
| 1356810360 | Thrishanna Clark | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2018-11-19 |
| 1376034660 | Sirna Musa | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2018-05-23 |
| 1013451780 | Katrice Pacley Andrews | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2016-12-14 |
| 1952853731 | Beverly Carson Washington | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2016-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943098 | Jackson Hole Sports Recovery LLC | Clinic/Center | 680 S Cache St Ste 100, Jackson, WY 83001-8694 | 2020-08-22 |
| 1528690971 | Excel Therapy of Nj Corp | Clinic/Center | 2080 West Countyline Rd, Jackson, NJ 08527-0870 | 2020-02-04 |
| 1073017935 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1100 E Michigan Ave Ste 102, Jackson, MI 49201-1800 | 2018-03-23 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| 1699145490 | Inmotion Rehab, LLC | Clinic/Center | 5140 Galaxie Dr Ste 106, Jackson, MS 39206-4354 | 2015-10-06 |
| 1649613142 | Encore Rehabilitation, Inc. | Clinic/Center | 220 Hospital Dr Bldg B, Jackson, AL 36545-2459 | 2013-04-15 |
| 1730437187 | Unique Surfaces LLC | Clinic/Center | 654 Page Ave, Jackson, MI 49203-1943 | 2012-08-16 |
| 1457656639 | Grace Myofascial Clinic, LLC | Clinic/Center | 3000 Old Canton Rd Ste 240, Jackson, MS 39216-4235 | 2011-01-19 |
| 1699007658 | Andrea Marie Dillon | Clinic/Center | 120 West Pearl Avenue, Jackson, WY 83001 | 2010-02-02 |
| 1821222548 | Developmental Physical Therapy Services, LLC | Clinic/Center | 1355 Hoyt Ln, Jackson, WY 83001-9446 | 2009-05-09 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC..
| 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.