IndividualActive
Corey Sivils, M.D.
NPI 1841679636 · Diagnostic Radiology Physician · Jackson, MS
Provider details
- NPI number
- 1841679636
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 28818 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Department of Medicine
Jackson, MS 39216-4500
Phone: (601) 984-5601
Fax: (601) 984-6601
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Additional practice locations (2)
- 178 Highway 24 ECentreville, MS 39631-4171Phone: (601) 890-0500Fax: (601) 645-5873
- 415 S 28th AveHattiesburg, MS 39401-7246Phone: (601) 264-6000Fax: (601) 268-5813
Registry dates
- Enumerated
- 2015-05-26
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.