OrganizationActive
Sonny Montgomery V a M Edical Center
NPI 1013014695 · Chronic Disease Hospital · Jackson, MS
Sonny Montgomery V a M Edical Center is a Chronic Disease Hospital organization in Jackson, MS (NPI 1013014695).
Provider details
- NPI number
- 1013014695
- Entity type
- Organization
- Primary specialty
- Chronic Disease HospitalHospitals
- Organization subpart
- No
- Authorized official
- Linda Mack, Certified Nurse Practitioner(601) 362-4471
- License
- R725005 (MS)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Approximate (ZIP-level) locationGet directions
Mailing address
1973 Houston Rd
Bolton, MS 39041-9387
Registry dates
- Enumerated
- 2006-09-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Sonny Montgomery V a M Edical Center's NPI number?
- Sonny Montgomery V a M Edical Center's National Provider Identifier (NPI) is 1013014695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sonny Montgomery V a M Edical Center?
- Sonny Montgomery V a M Edical Center is classified in the NPPES registry as Chronic Disease Hospital (Hospitals).
- Where is Sonny Montgomery V a M Edical Center located?
- Sonny Montgomery V a M Edical Center's practice location on file with NPPES is 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116.
- What is Sonny Montgomery V a M Edical Center's phone number?
- The practice phone number listed in the NPPES registry for Sonny Montgomery V a M Edical Center is (601) 362-4471.
- Who is the authorized official for Sonny Montgomery V a M Edical Center?
- The authorized official listed on Sonny Montgomery V a M Edical Center's NPPES record is Linda Mack, Certified Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sonny Montgomery V a M Edical Center's NPI active?
- Yes — Sonny Montgomery V a M Edical Center's NPI (1013014695) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.