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.
✓ Active NPI ✓ Valid NPI checksum
| 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?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-08.