OrganizationActive
Central Mississippi Health Services, Inc.
NPI 1073069498 · Federally Qualified Health Center (FQHC) · Jackson, MS
Provider details
- NPI number
- 1073069498
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terry Johnson, Human Resource Manager(601) 948-5572
Specialties & taxonomies
Ambulatory Health Care Facilities
- Preferred Provider Organization305R00000X
Managed Care Organizations
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1134 Winter St
Jackson, MS 39204-2841
Phone: (601) 948-5572
Fax: (601) 914-3012
Street-level locationGet directions
Mailing address
1134 Winter St
Jackson, MS 39204-2841
Registry dates
- Enumerated
- 2016-08-26
- Last updated
- 2022-04-28
- Certified
- 2022-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.