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Greater Jackson Obgyn LLC

Obstetrics & Gynecology Physician in Jackson, MS · enumerated 2020 · authorized official Debra Martin, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154956134

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Registry record

Entity type Organization (Type 2)
Legal business name Greater Jackson Obgyn LLC
Other name <Unavail>
Practice address 501 Marshall St Ste 502, Jackson, MS, 39202
Fax (601) 487-5156
Enumeration date Mar 10, 2020
Last updated in NPPES Nov 23, 2020

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Debra Martin
Title Office Manager

Other identifiers

Identifier Type State Issuer
00118723 Medicaid MS -

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.

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Frequently asked questions

Where is Greater Jackson Obgyn LLC located?
The practice location on file with NPPES is in Jackson, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-11-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-23.