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Jackson Pediatric Associates

Specialist in Ridgeland, MS · enumerated 2007 · authorized official Yolanda Wilson, President Ceo.

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

National Provider Identifier

1457484594

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Pediatric Associates
Practice address 297 Highway 51 Ste B, Ridgeland, MS, 39157
Fax (601) 707-5382
Enumeration date Mar 14, 2007
Last updated in NPPES Nov 16, 2011

Taxonomy & classification

174400000X Specialist Other Service Providers · License 12555 (MS) Primary

Authorized official

Name Yolanda Wilson
Title President Ceo

Other identifiers

Identifier Type State Issuer
09015867 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

What is the NPI number for Jackson Pediatric Associates?
The NPI for Jackson Pediatric Associates is 1457484594, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jackson Pediatric Associates?
NPPES lists Yolanda Wilson (President Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-16.