Ms State Department of Health
NPI 1053489260 · Community/Behavioral Health Agency · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ms State Department of Health is a Community/Behavioral Health Agency organization in Jackson, MS (NPI 1053489260).
Provider details
- NPI number
- 1053489260
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Miranda Hillman, Office Director(601) 906-0879
Specialties & taxonomies
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
Profile Score
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
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 100 Tamberline StBrandon, MS 39042-3164Phone: (601) 825-2141
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Frequently asked questions
- What is Ms State Department of Health's NPI number?
- Ms State Department of Health's National Provider Identifier (NPI) is 1053489260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ms State Department of Health?
- Ms State Department of Health is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Ms State Department of Health located?
- Ms State Department of Health's practice location on file with NPPES is 570 E Woodrow Wilson Ave, Jackson, MS 39216-4538.
- What is Ms State Department of Health's phone number?
- The practice phone number listed in the NPPES registry for Ms State Department of Health is (601) 906-0879.
- Does Ms State Department of Health accept Medicare?
- Ms State Department of Health is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ms State Department of Health?
- The authorized official listed on Ms State Department of Health's NPPES record is Miranda Hillman, Office Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ms State Department of Health's NPI active?
- Yes — Ms State Department of Health's NPI (1053489260) is active in the NPPES registry as of the last update on 2022-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.