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Va Jackson

Va Jackson is a healthcare organization registered as Military Hospital in Jackson, MS, holding Type 2 (organization) NPI 1265508287 since 2006. The authorized official on file is William Tidwell, Radiology.

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NPI 1265508287
Entity type Organization (Type 2)
Legal business name Va Jackson
Practice address 1500 E WOODROW WILSON AVE, Jackson, MS, 39216
Phone 6013641359
Enumeration date 2006-11-28
Last updated in NPPES 2007-07-10

Authorized official

Name William Tidwell
Title Radiology
Phone 6018984777

Taxonomy & classification

Taxonomy code Specialty Primary License State
286500000X Military Hospital Primary
Copy-ready billing details
Provider: Va Jackson
NPI: 1265508287
Taxonomy: 286500000X (Military Hospital)
Address: 1500 E WOODROW WILSON AVE, Jackson, MS, 39216

Providers at this address

NPI Name Type Specialty Location
1740264035 Sadeka Tamanna Individual Internal Medicine Physician Jackson, MS
1013989953 Tatonja Jones Individual Family Nurse Practitioner Jackson, MS
1508827205 Rebecca Clanton Individual Family Nurse Practitioner Jackson, MS
1932167756 Jackson Vamc Organization Department of Veterans Affairs (VA) Pharmacy Jackson, MS
1225087117 Jennifer Watson Individual Acute Care Nurse Practitioner Jackson, MS
1992754543 Jackson Vamc Organization General Acute Care Hospital Jackson, MS
1649224445 James Whelan Individual Pharmacist Jackson, MS
1134173412 Leah Russell Individual Pharmacotherapy Pharmacist Jackson, MS

Verify this record

Cross-check NPI 1265508287 against the authoritative CMS record: view Va Jackson 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-07-10. Verify at npiregistry.cms.hhs.gov.
Where is Va Jackson located?
The practice location on file with NPPES is in Jackson, MS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-10.