Mall Services, LLC

Mall Services, LLC is a healthcare organization registered as Primary Care Clinic/Center in Jackson, MS, holding Type 2 (organization) NPI 1285700617 since 2006. The authorized official on file is Cheryl Walker, Adminstrative Associate.

✓ Active NPI ✓ Valid NPI checksum

NPI	1285700617
Entity type	Organization (Type 2)
Legal business name	Mall Services, LLC
Other name	<Unavail>
Practice address	350 W WOODROW WILSON AVE, SUITE 615, Jackson, MS, 39213
Phone	6019820673
Fax	6019820459
Enumeration date	2006-11-28
Last updated in NPPES	2020-08-22

Authorized official

Name	Cheryl Walker
Title	Adminstrative Associate
Phone	6019820673

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QP2300X	Primary Care Clinic/Center	Secondary	R729183	MS
261QP2300X	Primary Care Clinic/Center	Primary	V-014	MS

Other identifiers

Identifier	Type	State	Issuer
08406271	Medicaid	MS	—
07606048	Medicaid	MS	—

Copy-ready billing details

Provider: Mall Services, LLC
NPI: 1285700617
Taxonomy: 261QP2300X (Primary Care Clinic/Center)
Address: 350 W WOODROW WILSON AVE, SUITE 615, Jackson, MS, 39213

Providers at this address

NPI	Name	Type	Specialty	Location
1184607210	Srinivasan Vijayakumar	Individual	Radiation Oncology Physician	Jackson, MS
1811944077	Joselyn Bacon	Individual	Nurse Practitioner	Jackson, MS
1881636421	Advance Medical Supplies, Inc.	Organization	Durable Medical Equipment & Medical Supplies	Jackson, MS
1770525057	Voice of Calvary Family Health Center Inc	Organization	Point of Service	Jackson, MS
1932144342	State of Mississippi-University of Mississippi Medical Center	Organization	Pharmacy	Jackson, MS
1033146725	Eva Henderson	Individual	Pediatrics Physician	Jackson, MS
1477667327	Robert Allbright	Individual	Radiation Oncology Physician	Jackson, MS
1275627747	Gwen Bussa	Individual	Advanced Practice Midwife	Jackson, MS

Verify this record

Cross-check NPI 1285700617 against the authoritative CMS record: view Mall Services, LLC 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 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Mall Services, LLC located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.