State of Mississippi - University of Mississippi Medical Center
NPI 1114727385 · Pediatric Skilled Nursing Facility · Jackson, MS
State of Mississippi - University of Mississippi Medical Center is a Pediatric Skilled Nursing Facility organization in Jackson, MS (NPI 1114727385).
Provider details
- NPI number
- 1114727385
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Grimsley, Associate Cfo-Clinical Operations(601) 815-6270
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Other names (DBA / former)
- Other name
- Alyce G. Clarke Center for Medically Fragile Children
Registry dates
- Enumerated
- 2025-03-17
- Last updated
- 2025-03-17
- Certified
- 2025-03-11
Frequently asked questions
- What is State of Mississippi - University of Mississippi Medical Center's NPI number?
- State of Mississippi - University of Mississippi Medical Center's National Provider Identifier (NPI) is 1114727385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Mississippi - University of Mississippi Medical Center?
- State of Mississippi - University of Mississippi Medical Center is classified in the NPPES registry as Pediatric Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is State of Mississippi - University of Mississippi Medical Center located?
- State of Mississippi - University of Mississippi Medical Center's practice location on file with NPPES is 3850 Eastwood Drive, Jackson, MS 39211.
- What is State of Mississippi - University of Mississippi Medical Center's phone number?
- The practice phone number listed in the NPPES registry for State of Mississippi - University of Mississippi Medical Center is (601) 984-2972.
- Who is the authorized official for State of Mississippi - University of Mississippi Medical Center?
- The authorized official listed on State of Mississippi - University of Mississippi Medical Center's NPPES record is Jeffrey Grimsley, Associate Cfo-Clinical Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Mississippi - University of Mississippi Medical Center's NPI active?
- Yes — State of Mississippi - University of Mississippi Medical Center's NPI (1114727385) is active in the NPPES registry as of the last update on 2025-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.