IndividualActive
Charles Clericuzio
NPI 1558380238 · Surgery Physician · Jackson, MS
Charles Clericuzio is a Surgery Physician provider in Jackson, MS (NPI 1558380238).
Provider details
- NPI number
- 1558380238
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- F2199 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 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
1500 E. Woodrow Wilson Drive
Jackson, MS 39216-5116
Phone: (601) 362-4471
Approximate (ZIP-level) locationGet directions
Mailing address
1500 E. Woodrow Wilson Drive
Jackson, MS 39216-5116
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2007-07-10
Frequently asked questions
- What is Charles Clericuzio's NPI number?
- Charles Clericuzio's National Provider Identifier (NPI) is 1558380238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Clericuzio's specialty?
- Charles Clericuzio is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Clericuzio located?
- Charles Clericuzio's practice location on file with NPPES is 1500 E. Woodrow Wilson Drive, Jackson, MS 39216-5116.
- What is Charles Clericuzio's phone number?
- The practice phone number listed in the NPPES registry for Charles Clericuzio is (601) 362-4471.
- Is Charles Clericuzio's NPI active?
- Yes — Charles Clericuzio's NPI (1558380238) is active in the NPPES registry as of the last update on 2007-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.