Jackson Ear Clinic PA
NPI 1093934002ActiveOrganization· Specialist· Flowood, MS
Specialist in Flowood, Mississippi, registered in NPPES in April 2007. The authorized official on file is Kathy Peeples, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093934002 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2007 |
| Last updated in NPPES | Aug 12, 2020 |
| Certified by provider | Aug 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 11369 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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