Central Jackson Medical Clinic, Inc
NPI 1285967943ActiveOrganization· Nurse Practitioner, Family· Jackson, MS
Nurse Practitioner, Family in Jackson, Mississippi, registered in NPPES in September 2009. The authorized official on file is Iphogenier Barry, President.
Overview
| NPI | 1285967943 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2009 |
| Last updated in NPPES | Sep 14, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R733308 | MS |
| Nurse Practitioner, Family | 363LF0000X | R718637 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner, Family providers in Jackson
- 1306118823
- 1144040080
- 1427289743
- 1669987723
- 1821004532
- 1063659340
- 1528475357
- 1861803223
- 1891233276
- 1508263179
- 1063786036
- 1578580528