Jackson Public Schools Hardy Clinic
Jackson Public Schools Hardy Clinic is a healthcare organization registered as Registered Nurse in Jackson, MS, holding Type 2 (organization) NPI 1720123979 since 2007. The authorized official on file is Earl Watkins, Superintendent.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720123979 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Public Schools Hardy Clinic |
| Practice address | 545 ELLIS AVE, Jackson, MS, 39209 |
| Phone | 6019608705 |
| Fax | 6019608704 |
| Enumeration date | 2007-02-21 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Earl Watkins |
|---|---|
| Title | Superintendent |
| Phone | 6019608700 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | Primary | R557579 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04835581 | Medicaid | MS | — |
Copy-ready billing details
Provider: Jackson Public Schools Hardy Clinic NPI: 1720123979 Taxonomy: 163W00000X (Registered Nurse) Address: 545 ELLIS AVE, Jackson, MS, 39209
Verify this record
Cross-check NPI 1720123979 against the authoritative CMS record: view Jackson Public Schools Hardy Clinic 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 type of organization is Jackson Public Schools Hardy Clinic?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.