Jackson Vamc
Jackson Vamc is a healthcare organization registered as VA Clinic/Center in Meridian, MS, holding Type 2 (organization) NPI 1669410288 since 2006. The authorized official on file is Erin Potter, Npi Team Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669410288 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Vamc |
| Other name | <Unavail> |
| Practice address | 2103 13TH ST, Meridian, MS, 39301 |
| Phone | 6153553451 |
| Enumeration date | 2006-06-04 |
| Last updated in NPPES | 2017-10-04 |
Authorized official
| Name | Erin Potter |
|---|---|
| Title | Npi Team Member |
| Phone | 2023822579 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QV0200X | VA Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Jackson Vamc NPI: 1669410288 Taxonomy: 261QV0200X (VA Clinic/Center) Address: 2103 13TH ST, Meridian, MS, 39301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194743336 | Deborah Schultz | Individual | Internal Medicine Physician | Meridian, MS |
| 1578587523 | Gayle Hamilton | Individual | Family Nurse Practitioner | Meridian, MS |
| 1336261239 | Deritha Barber | Individual | Social Worker | Meridian, MS |
| 1952795502 | Kathryn Fleming | Individual | Family Nurse Practitioner | Meridian, MS |
| 1992238067 | Robbi Broadhead | Individual | Administrator Registered Nurse | Meridian, MS |
Verify this record
Cross-check NPI 1669410288 against the authoritative CMS record: view Jackson Vamc 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 the NPI number for Jackson Vamc?
Who is the authorized official for Jackson Vamc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-10-04.