State of Mississippi- University of Mississippi Medical Center
NPI 1194930693 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jackson, MS
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State of Mississippi- University of Mississippi Medical Center is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Jackson, MS (NPI 1194930693).
Provider details
- NPI number
- 1194930693
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Kennedy, Associate Administrator(601) 984-4699
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Umc Medical Mall
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2007-10-02
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 1194930693, 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 End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health 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 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681.
- 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) 815-6350.
- Does State of Mississippi- University of Mississippi Medical Center accept Medicare?
- State of Mississippi- University of Mississippi Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 William Kennedy, Associate Administrator. 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 (1194930693) is active in the NPPES registry as of the last update on 2007-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.