Mississippi State Department of Health
NPI 1255479630 · Clinical Medical Laboratory · Jackson, MS
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mississippi State Department of Health is a Clinical Medical Laboratory organization in Jackson, MS (NPI 1255479630).
Provider details
- NPI number
- 1255479630
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Mitchell Adcock, Chief Operations Officer(601) 576-7635
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,646 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 327 | $5 |
| Bilirubin Level, Total82247 | 179 | $5 |
| Liver Enzyme (sgot), Level84450 | 179 | $5 |
| Liver Enzyme (sgpt), Level84460 | 179 | $5 |
| Blood Creatinine Level82565 | 145 | $5 |
| Urea Nitrogen Level to Assess Kidney Function, Quantitative84520 | 143 | $4 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mississippi State Department of Health's NPI number?
- Mississippi State Department of Health's National Provider Identifier (NPI) is 1255479630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi State Department of Health?
- Mississippi State Department of Health is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Mississippi State Department of Health located?
- Mississippi State Department of Health's practice location on file with NPPES is 570 E Woodrow Wilson Ave, Jackson, MS 39216-4538.
- What is Mississippi State Department of Health's phone number?
- The practice phone number listed in the NPPES registry for Mississippi State Department of Health is (601) 576-7582.
- Does Mississippi State Department of Health accept Medicare?
- Mississippi State Department of Health 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 Mississippi State Department of Health?
- The authorized official listed on Mississippi State Department of Health's NPPES record is Mitchell Adcock, Chief Operations Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi State Department of Health's NPI active?
- Yes — Mississippi State Department of Health's NPI (1255479630) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.