Medical Mall Services of Mississippi, LLC
NPI 1679843452 · Health Service Clinic/Center · Jackson, MS
Medical Mall Services of Mississippi, LLC is a Health Service Clinic/Center organization in Jackson, MS (NPI 1679843452).
Provider details
- NPI number
- 1679843452
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Bardwell, Chief Financial Officer(202) 459-4766
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
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
Other names (DBA / former)
- Doing business as
- Medical Mall Health Services
Registry dates
- Enumerated
- 2012-01-10
- Last updated
- 2012-01-10
Frequently asked questions
- What is Medical Mall Services of Mississippi, LLC's NPI number?
- Medical Mall Services of Mississippi, LLC's National Provider Identifier (NPI) is 1679843452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Mall Services of Mississippi, LLC?
- Medical Mall Services of Mississippi, LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Medical Mall Services of Mississippi, LLC located?
- Medical Mall 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 Services of Mississippi, LLC's phone number?
- The practice phone number listed in the NPPES registry for Medical Mall Services of Mississippi, LLC is (610) 672-2733.
- Who is the authorized official for Medical Mall Services of Mississippi, LLC?
- The authorized official listed on Medical Mall Services of Mississippi, LLC's NPPES record is James Bardwell, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Mall Services of Mississippi, LLC's NPI active?
- Yes — Medical Mall Services of Mississippi, LLC's NPI (1679843452) is active in the NPPES registry as of the last update on 2012-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.