OrganizationActive
Mississippi State Department of Health
NPI 1063558401 · Community/Behavioral Health Agency · Jackson, MS
Provider details
- NPI number
- 1063558401
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Miranda Hillman, Office Director(601) 576-7886
Specialties & taxonomies
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
Profile Score
Detailed profile(94/100 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
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
570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Phone: (601) 906-0879
Street-level locationGet directions
Mailing address
570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Additional practice locations (1)
- 100 Tamberline StBrandon, MS 39042-3164Phone: (601) 825-2141
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2022-12-02
- Certified
- 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.