Medical Mall Health Services of Mississippi, LLC
NPI 1194083139 · Primary Care Nurse Practitioner · Jackson, MS
Medical Mall Health Services of Mississippi, LLC is a Primary Care Nurse Practitioner organization in Jackson, MS (NPI 1194083139).
Provider details
- NPI number
- 1194083139
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Timothy Mcneil, Coo(202) 344-5465
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-04-27
- Last updated
- 2015-03-12
Frequently asked questions
- What is Medical Mall Health Services of Mississippi, LLC's NPI number?
- Medical Mall Health Services of Mississippi, LLC's National Provider Identifier (NPI) is 1194083139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Mall Health Services of Mississippi, LLC?
- Medical Mall Health Services of Mississippi, LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Medical Mall Health Services of Mississippi, LLC located?
- Medical Mall Health Services of Mississippi, LLC's practice location on file with NPPES is 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681.
- What is Medical Mall Health Services of Mississippi, LLC's phone number?
- The practice phone number listed in the NPPES registry for Medical Mall Health Services of Mississippi, LLC is (601) 700-7709.
- Who is the authorized official for Medical Mall Health Services of Mississippi, LLC?
- The authorized official listed on Medical Mall Health Services of Mississippi, LLC's NPPES record is Timothy Mcneil, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Mall Health Services of Mississippi, LLC's NPI active?
- Yes — Medical Mall Health Services of Mississippi, LLC's NPI (1194083139) is active in the NPPES registry as of the last update on 2015-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.