| North Jackson Medical Clinic Pllc | |
|
5160 Galaxie Dr Jackson MS 39206-4308 | |
| (601) 713-0890 | |
| (601) 366-3415 |
| Full Name | North Jackson Medical Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5160 Galaxie Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Adesola F Shekoni (PHYSICIAN) |
| Authorized Official Contact | 6017130890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jackson Medical Clinic Pllc Po Box 4522 Jackson MS 39296-4522 Ph: (601) 713-0890 | North Jackson Medical Clinic Pllc 5160 Galaxie Dr Jackson MS 39206-4308 Ph: (601) 713-0890 |
| NPI Number | 1659471407 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 4082715354 |
|---|---|
| Medicare Enrollment ID | O20110506000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659471407 | NPI | - | NPPES |
| 00117502 | Medicaid | MS | |
| 220338401B | Other | MS | BLUECROSS OF MISSISSIPPI |
| 00115572 | Medicaid | MS | |
| 9015073 | Medicaid | MS | |
| 109808399B | Other | MS | BLUECROSS OF MISSISSIPPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15143 (Mississippi) | Primary |
| Provider Name | Kaye E Killings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881636306 PECOS PAC ID: 9830290105 Enrollment ID: I20070731000336 |
| Provider Name | Nurudeen A Shekoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841347770 PECOS PAC ID: 7012040926 Enrollment ID: I20100729000122 |
| Provider Name | Adesola F Shekoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972650885 PECOS PAC ID: 7113102187 Enrollment ID: I20171207002332 |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |