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Restore Health Pllc

Restore Health Pllc is a healthcare organization registered as Primary Care Clinic/Center in Jackson, MS, holding Type 2 (organization) NPI 1699140152 since 2015. The authorized official on file is Shinita Dudley, Owner.

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NPI 1699140152
Entity type Organization (Type 2)
Legal business name Restore Health Pllc
Other name <Unavail>
Practice address 1551 E COUNTY LINE RD, Jackson, MS, 39211
Phone 6019577343
Fax 6019577344
Enumeration date 2015-12-09
Last updated in NPPES 2016-04-08

Authorized official

Name Shinita Dudley
Title Owner
Phone 6019577343

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QP2300X Primary Care Clinic/Center Primary 18239 MS
Copy-ready billing details
Provider: Restore Health Pllc
NPI: 1699140152
Taxonomy: 261QP2300X (Primary Care Clinic/Center)
Address: 1551 E COUNTY LINE RD, Jackson, MS, 39211

Providers at this address

NPI Name Type Specialty Location
1164518874 John Barringer Individual Occupational Medicine Clinic/Center Jackson, MS
1558586792 Wl Aron MD PA Organization Substance Use Disorder Rehabilitation Clinic/Center Jackson, MS
1033394358 Jeffrey Hickman Individual Professional Counselor Jackson, MS
1114223500 On Demand Lab Test LLC Organization Clinical Medical Laboratory Jackson, MS
1982979977 Pamela Moore Individual Neonatal Nurse Practitioner Jackson, MS
1093228702 Sentral Clark Individual Social Worker Jackson, MS
1962915678 Andrea Farrar Individual Social Worker Jackson, MS
1093286544 East Endocrine and Metabolism Pllc Organization Clinic/Center Jackson, MS

Verify this record

Cross-check NPI 1699140152 against the authoritative CMS record: view Restore Health Pllc 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

Where is Restore Health Pllc located?
The practice location on file with NPPES is in Jackson, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-04-08. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-08.