Medical Mall Health Services of Mississippi, LLC
NPI 1194083139ActiveOrganization· Nurse Practitioner, Primary Care· Jackson, MS
Nurse Practitioner, Primary Care in Jackson, Mississippi, registered in NPPES in April 2012. The authorized official on file is Timothy P. McNeil, RN, Coo.
Overview
| NPI | 1194083139 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2012 |
| Last updated in NPPES | Mar 12, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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