Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

State of Mississippi- University of Mississippi Medical Center

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jackson, MS · enumerated 2007 · authorized official William Kennedy, Associate Administrator.

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

National Provider Identifier

1194930693

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Registry record

Entity type Organization (Type 2)

Legal business name State of Mississippi- University of Mississippi Medical Center

Other name <Unavail>

Practice address 350 W Woodrow Wilson Ave, Suite 479, Jackson, MS, 39213

Phone (601) 815-6350

Fax (601) 815-6348

Enumeration date May 10, 2007

Last updated in NPPES Oct 2, 2007

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name William Kennedy

Title Associate Administrator

Phone (601) 984-4699

Other identifiers

Identifier	Type	State	Issuer
20256	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

Who is the authorized official for State of Mississippi- University of Mississippi Medical Center?

NPPES lists William Kennedy (Associate Administrator) as the authorized official for this organization.

What is the NPI number for State of Mississippi- University of Mississippi Medical Center?

The NPI for State of Mississippi- University of Mississippi Medical Center is 1194930693, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-02.