OrganizationActive
Central Jackson Family Medical Clinic
NPI 1154549707 · Medical Specialty Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1154549707
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Cassandra Thomas, Physicain
- License
- 18905 (MS)
Practice location
514 C Woodrow Wilson
Jackson, MS 39216
Phone: (601) 981-7198
Fax: (601) 981-6616
Mailing address
P.o. Box 4610
Jackson, MS 39296-4610
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2010-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.