<unavail> in Jackson, MS - Medicare Clinic/Center

is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Jackson, Mississippi. The current practice location for is 1832 Hospital Dr, Jackson, Mississippi. For appointments, you can reach them via phone at (601) 371-8883. The mailing address for is Po Box 59147, Jackson, Mississippi and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215657937. 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) 371-8883.

Contact Information


	1832 Hospital Dr Jackson MS 39204-3410
	(601) 371-8883
	(866) 272-5766

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1832 Hospital Dr, Jackson, Mississippi
Authorized Official Name and Position	Kimberly Carson (FNP)
Authorized Official Contact	6012180969
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 59147 Jackson MS 39284-9147 Ph: () -	1832 Hospital Dr Jackson MS 39204-3410 Ph: (601) 371-8883

NPI Details:

NPI Number	1215657937
Provider Enumeration Date	09/01/2022
Last Update Date	10/03/2022
Certification Date	10/03/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	8224404439
Medicare Enrollment ID	O20221013000020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215657937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Primary
261QM0850X	Clinic/center - Adult Mental Health	(* (Not Available))	Secondary
261QM0855X	Clinic/center - Adolescent And Children Mental Health	(* (Not Available))	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Christopher A Carson
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1578986915 PECOS PAC ID: 8426376559 Enrollment ID: I20160708000108

Reviews and Comments

Clinic/Center in Jackson, MS

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- Medicare Mental Health Clinic in Jackson, MS