OrganizationActive
University of Mississippi Medical Center
NPI 1093149411 · Chronic Disease Hospital · Jackson, MS
Provider details
- NPI number
- 1093149411
- Entity type
- Organization
- Primary specialty
- Chronic Disease HospitalHospitals
- Organization subpart
- No
- Authorized official
- Bobby Stanley, Psyc Residency Edu. Coordinator(601) 815-1362
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-1362
Street-level locationGet directions
Mailing address
911 Madison St
Jackson, MS 39202-2721
Registry dates
- Enumerated
- 2013-08-22
- Last updated
- 2013-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.