OrganizationActive
Ear Nose and Throat Surgical Group
NPI 1699810069 · Specialist · Jackson, MS
Ear Nose and Throat Surgical Group is a Specialist organization in Jackson, MS (NPI 1699810069).
Provider details
- NPI number
- 1699810069
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mickey Wallace, Physician(601) 898-7000
- License
- 08819 (MS)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 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
970 Lakeland Dr Ste 40
Jackson, MS 39216-4640
Phone: (601) 200-4850
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 23666
Jackson, MS 39225
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2011-08-10
Frequently asked questions
- What is Ear Nose and Throat Surgical Group's NPI number?
- Ear Nose and Throat Surgical Group's National Provider Identifier (NPI) is 1699810069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ear Nose and Throat Surgical Group?
- Ear Nose and Throat Surgical Group is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Ear Nose and Throat Surgical Group located?
- Ear Nose and Throat Surgical Group's practice location on file with NPPES is 970 Lakeland Dr Ste 40, Jackson, MS 39216-4640.
- What is Ear Nose and Throat Surgical Group's phone number?
- The practice phone number listed in the NPPES registry for Ear Nose and Throat Surgical Group is (601) 200-4850.
- Who is the authorized official for Ear Nose and Throat Surgical Group?
- The authorized official listed on Ear Nose and Throat Surgical Group's NPPES record is Mickey Wallace, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ear Nose and Throat Surgical Group's NPI active?
- Yes — Ear Nose and Throat Surgical Group's NPI (1699810069) is active in the NPPES registry as of the last update on 2011-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.