Mississippi Asthma & Allergy Clinic PA
NPI 1902882251 · Allergy & Immunology Physician · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mississippi Asthma & Allergy Clinic PA is a Allergy & Immunology Physician organization in Jackson, MS (NPI 1902882251).
Provider details
- NPI number
- 1902882251
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Moak, Practice Administrator(601) 354-4836
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2010-02-16
Frequently asked questions
- What is Mississippi Asthma & Allergy Clinic PA's NPI number?
- Mississippi Asthma & Allergy Clinic PA's National Provider Identifier (NPI) is 1902882251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi Asthma & Allergy Clinic PA?
- Mississippi Asthma & Allergy Clinic PA is classified in the NPPES registry as Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Mississippi Asthma & Allergy Clinic PA located?
- Mississippi Asthma & Allergy Clinic PA's practice location on file with NPPES is 1513 Lakeland Dr, Jackson, MS 39216-4829.
- What is Mississippi Asthma & Allergy Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Mississippi Asthma & Allergy Clinic PA is (601) 354-4836.
- Does Mississippi Asthma & Allergy Clinic PA accept Medicare?
- Mississippi Asthma & Allergy Clinic PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mississippi Asthma & Allergy Clinic PA?
- The authorized official listed on Mississippi Asthma & Allergy Clinic PA's NPPES record is David Moak, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi Asthma & Allergy Clinic PA's NPI active?
- Yes — Mississippi Asthma & Allergy Clinic PA's NPI (1902882251) is active in the NPPES registry as of the last update on 2010-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.