JACKSON VAMC (NPI# 1295787364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295787364 |
| Entity Type | Organization |
| Organization Name | JACKSON VAMC |
| Other Organization Name | COLUMBUS VA CBOC |
| Practice Address |
824 Alabama St Columbus MS 39702-5436 |
| Mailing Address |
Po Box 94497 Cleveland OH 44101-4497 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Columbus VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407303050 | Jackson Vamc | Clinic/Center | 6522 Dogwood View Parkway, Suite F, Jackson, MS 39213-7858 | 2016-09-01 |
| 1841232097 | Jackson Vamc | Clinic/Center | 405 W Adams St, Kosciusko, MS 39090-3617 | 2006-06-12 |
| 1043250418 | Jackson Vamc | Clinic/Center | 1502 S Colorado St, Greenville, MS 38703-7219 | 2006-06-07 |
| 1669410288 | Jackson Vamc | Clinic/Center | 2103 13th St, Meridian, MS 39301-4045 | 2006-06-04 |
| 1528006152 | Jackson Vamc | Clinic/Center | 105 Northgate Rd, Suite 2, Natchez, MS 39120-9162 | 2006-06-04 |
| 1376598698 | Jackson Vamc | Clinic/Center | 5003 Hardy Street, Tower B Suite 402, Hattiesburg, MS 39402-1331 | 2006-05-24 |
| 1154784965 | Jackson Vamc | Psychiatric Residential Treatment Facility | 1500 Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2016-03-30 |
| 1922496280 | Jackson Vamc | Clinic/Center | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2015-01-08 |
| 1467762120 | Jackson Vamc | Clinic/Center | 1308 Harrison Ave, Mccomb, MS 39648-2830 | 2010-10-15 |
| 1992754543 | Jackson Vamc | General Acute Care Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-05-10 |
| Street Address |
824 ALABAMA ST |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39702-5436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114308632 | Chelsey M Schiefelbein | Nurse Practitioner | 824 Alabama St, Columbus, MS 39702-5436 | 2015-06-10 |
| 1164759965 | Tyrone Leavette Rupert | Nurse Practitioner | 824 Alabama St, Columbus, MS 39702-5436 | 2009-11-16 |
| 1790874600 | Pamela Evette Norwood | Counselor | 824 Alabama St, Columbus, MS 39702-5436 | 2006-10-11 |
| 1104939867 | Madhukar Saran | Internal Medicine | 824 Alabama St, Columbus, MS 39702-5436 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364519 | Damian Mercier | Student in an Organized Health Care Education/Training Program | Baptist Memorial Hospital- Gt 2520 5th Str N., Columbus, MS 39702 | 2020-04-09 |
| 1215276175 | Dutch Medical Clinics, Inc | Clinic/Center | 3654-b New Hope Rd, Columbus, MS 39702 | 2013-02-12 |
| 1740552439 | Bobbie Sue Pearson | Nurse Practitioner | 3654-b New Hope Road, Columbus, MS 39702 | 2012-01-27 |
| 1023193927 | James D Wiygul | Dentist | 220 Alabama Street, Columbus, MS 39702 | 2006-10-26 |
| 1821185398 | Children's Health Center of Columbus, Inc. | Pediatrics | 114 N Lehmberg Road, Columbus, MS 39702 | 2006-10-06 |
| 1265449367 | Windsor Place Nursing Center Inc | Skilled Nursing Facility | 81 Windsor Blvd, Columbus, MS 39702 | 2006-08-02 |
| 1568421675 | Carey Mccarter | Nurse Practitioner | Aurora Health and Rehabilitation, 310 Emerald Dr, Columbus, MS 39702 | 2006-03-20 |
| 1811976368 | Aurora Australis, LLC | Skilled Nursing Facility | 310 Emerald Dr, Columbus, MS 39702 | 2006-01-12 |
| 1992298905 | Adam Holmes | Non-emergency Medical Transport (VAN) | 2798 Lake Lowndes Rd, Columbus, MS 39702 | 2018-06-13 |
| 1639692833 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201b Alabama St, Columbus, MS 39702 | 2017-07-19 |
| Find all providers in zip 39702 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255383311 | Montgomery Vamc | Clinic/Center | 1310 13th Ave, Columbus, GA 31901-2335 | 2006-05-17 |
| 1295186146 | Department of Veteran Affairs | Clinic/Center | 420 N James Rd, Columbus, OH 43219-1834 | 2016-06-22 |
| 1962851626 | Columbus Va Ambulatory Care Center | Clinic/Center | 2720 Airport Dr, Suite 100, Columbus, OH 43219-2219 | 2016-06-03 |
| 1952792905 | Columbus Va Ambulatory Care Center | Clinic/Center | 420 N James Rd, Columbus, OH 43219-1834 | 2015-02-12 |
| 1902294895 | Columbus Va Ambulatory Care Center | Clinic/Center | 420 N James Rd, Columbus, OH 43219-1834 | 2014-12-31 |
| 1548601818 | Chalmers P. Wylie, Ambulatory Care Center | Clinic/Center | 420 N James Rd, Columbus, OH 43219-1834 | 2013-07-15 |
| 1003107004 | Tara Sallee | Clinic/Center | 420 N James Rd, Columbus, OH 43219-1834 | 2011-04-25 |
| 1629150826 | Columbus Va Opc | Clinic/Center | 543 Taylor Ave, Columbus, OH 43203-1278 | 2006-10-19 |
| 1295842474 | Dept of Veteran Affairs | Clinic/Center | 543 Taylor Ave, Columbus, OH 43203-1278 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407303050 | Jackson Vamc | Clinic/Center | 6522 Dogwood View Parkway, Suite F, Jackson, MS 39213-7858 | 2016-09-01 |
| 1841232097 | Jackson Vamc | Clinic/Center | 405 W Adams St, Kosciusko, MS 39090-3617 | 2006-06-12 |
| 1043250418 | Jackson Vamc | Clinic/Center | 1502 S Colorado St, Greenville, MS 38703-7219 | 2006-06-07 |
| 1669410288 | Jackson Vamc | Clinic/Center | 2103 13th St, Meridian, MS 39301-4045 | 2006-06-04 |
| 1528006152 | Jackson Vamc | Clinic/Center | 105 Northgate Rd, Suite 2, Natchez, MS 39120-9162 | 2006-06-04 |
| 1073552436 | Memphis Vamc | Clinic/Center | 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 | 2006-06-04 |
| 1376598698 | Jackson Vamc | Clinic/Center | 5003 Hardy Street, Tower B Suite 402, Hattiesburg, MS 39402-1331 | 2006-05-24 |
| 1194778357 | Memphis Vamc | Clinic/Center | 1700 Crescent Meadows, Holly Springs, MS 38635-7414 | 2006-05-18 |
| 1972044048 | Dewona Flowers | Clinic/Center | 604 Lexington Cv, Byram, MS 39272-3004 | 2017-03-09 |
| 1245770445 | Clinton Medical Center | Clinic/Center | 604 Lexington Cv, Byram, MS 39272-3004 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
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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.