NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ear Nose and Throat Surgical Group

Specialist in Jackson, MS · enumerated 2007 · authorized official Mickey Wallace, Physician.

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

National Provider Identifier

1699810069

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Ear Nose and Throat Surgical Group
Practice address 970 Lakeland Dr Ste 40, Jackson, MS, 39216
Phone (601) 200-4850
Enumeration date Feb 21, 2007
Last updated in NPPES Aug 10, 2011

Taxonomy & classification

174400000X Specialist Other Service Providers · License 08819 (MS) Primary

Authorized official

Name Mickey Wallace
Title Physician
Phone (601) 898-7000

Other identifiers

Identifier Type State Issuer
04387064 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.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Ear Nose and Throat Surgical Group?
NPPES lists Mickey Wallace (Physician) as the authorized official for this organization.
What is the NPI number for Ear Nose and Throat Surgical Group?
The NPI for Ear Nose and Throat Surgical Group is 1699810069, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-10.