NPI Portal NPI Lookup & Verification

Jackson Pediatric Associates P A

Jackson Pediatric Associates P A is a healthcare organization registered as Specialist in Jackson, MS, holding Type 2 (organization) NPI 1659556298 since 2008. The authorized official on file is Yolanda Wilson, President.

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NPI 1659556298
Entity type Organization (Type 2)
Legal business name Jackson Pediatric Associates P A
Other name <Unavail>
Parent organization Jackson Pediatric Associates
Practice address 1824 HOSPITAL DR, Jackson, MS, 39204
Phone 6013464586
Fax 6013464587
Enumeration date 2008-01-02
Last updated in NPPES 2011-11-15

Authorized official

Name Yolanda Wilson
Title President
Phone 6017075381

Taxonomy & classification

Taxonomy code Specialty Primary License State
174400000X Specialist Primary 12555 MS

Other identifiers

Identifier Type State Issuer
07325898 Medicaid MS
Copy-ready billing details
Provider: Jackson Pediatric Associates P A
NPI: 1659556298
Taxonomy: 174400000X (Specialist)
Address: 1824 HOSPITAL DR, Jackson, MS, 39204

Providers at this address

NPI Name Type Specialty Location
1881759702 Dana Grant Individual Pediatrics Physician Jackson, MS
1407989619 Dana Carbo Bryant Individual Pediatrics Physician Jackson, MS
1639717713 Craig Henry Individual Family Nurse Practitioner Jackson, MS

Verify this record

Cross-check NPI 1659556298 against the authoritative CMS record: view Jackson Pediatric Associates P A 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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Jackson Pediatric Associates P A?
Jackson Pediatric Associates P A is registered in NPPES as a Specialist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-15.