OrganizationActive
Jackson Neurocare, PLLC
NPI 1770987638 · Neurology Physician · Jackson, MS
Provider details
- NPI number
- 1770987638
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ruth Fredericks, Owner(601) 939-0361
- License
- 11722 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
971 Lakeland Drive
Suite 557, West Tower
Jackson, MS 39216-4607
Phone: (601) 939-0361
Fax: (601) 939-5210
Street-level locationGet directions
Mailing address
971 Lakeland Drive
Jackson, MS 39216-4607
Registry dates
- Enumerated
- 2014-10-21
- Last updated
- 2014-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.