OrganizationActive
Mississippi Baptist Medical Center, Inc.
NPI 1124155809 · Psychologist · Jackson, MS
Provider details
- NPI number
- 1124155809
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Baptist Memorial Health Care Corp.
- Organization subpart
- Yes
- Authorized official
- Gregory Duckett, Sr Vp/ Clo(901) 227-5233
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 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
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
1225 N State St
Jackson, MS 39202-2064
Phone: (601) 968-1362
Fax: (601) 292-4592
Street-level locationGet directions
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Other names (DBA / former)
- Doing business as
- Mississippi Baptist Medical Center Railroad Medicare
- Doing business as
- Mississippi Baptist Medical Center Railroad Medicare
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.