Jackson Ear Clinic PA

Jackson Ear Clinic PA is a healthcare organization registered as Specialist in Flowood, MS, holding Type 2 (organization) NPI 1093934002 since 2007. The authorized official on file is Kathy Peeples, Office Manager.

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NPI	1093934002
Entity type	Organization (Type 2)
Legal business name	Jackson Ear Clinic PA
Practice address	290 E LAYFAIR DR, Flowood, MS, 39232
Phone	6019812825
Fax	6019812827
Enumeration date	2007-04-25
Last updated in NPPES	2020-08-12

Authorized official

Name	Kathy Peeples
Title	Office Manager
Phone	6019812825

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
174400000X	Specialist	Primary	11369	MS

Other identifiers

Identifier	Type	State	Issuer
04586854	Medicaid	MS	—

Copy-ready billing details

Provider: Jackson Ear Clinic PA
NPI: 1093934002
Taxonomy: 174400000X (Specialist)
Address: 290 E LAYFAIR DR, Flowood, MS, 39232

Providers at this address

NPI	Name	Type	Specialty	Location
1134135833	Genesis Physical Therapy & Rehabilitation LLC	Organization	Physical Therapist	Flowood, MS
1588763197	James House	Individual	Specialist	Flowood, MS
1679661649	Ward Mccraney	Individual	Orthopaedic Surgery Physician	Flowood, MS
1770913246	Nicole Rayburn	Individual	Audiologist	Flowood, MS
1366854028	Laura Christopher	Individual	Otology & Neurotology Physician	Flowood, MS
1730634544	Keely Dodder	Individual	Physical Therapist	Flowood, MS
1164993929	Susan Geiger	Individual	Physical Therapist	Flowood, MS
1659110336	Autumn Barron	Individual	Audiologist	Flowood, MS

Verify this record

Cross-check NPI 1093934002 against the authoritative CMS record: view Jackson Ear Clinic PA on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Jackson Ear Clinic PA located?

The practice location on file with NPPES is in Flowood, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-12.