Jackson Neurocare, Pllc
Jackson Neurocare, Pllc is a healthcare organization registered as Neurology Physician in Jackson, MS, holding Type 2 (organization) NPI 1770987638 since 2014. The authorized official on file is Ruth Fredericks, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770987638 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Neurocare, Pllc |
| Practice address | 971 LAKELAND DRIVE, SUITE 557, WEST TOWER, Jackson, MS, 39216 |
| Phone | 6019390361 |
| Fax | 6019395210 |
| Enumeration date | 2014-10-21 |
| Last updated in NPPES | 2014-10-21 |
Authorized official
| Name | Ruth Fredericks |
|---|---|
| Title | Owner |
| Phone | 6019390361 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084N0400X | Neurology Physician | Primary | 11722 | MS |
Copy-ready billing details
Provider: Jackson Neurocare, Pllc NPI: 1770987638 Taxonomy: 2084N0400X (Neurology Physician) Address: 971 LAKELAND DRIVE, SUITE 557, WEST TOWER, Jackson, MS, 39216
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861403115 | Doyle Morrison | Individual | Urology Physician | Jackson, MS |
| 1568563385 | Jonathan Adkins | Individual | Surgery Physician | Jackson, MS |
| 1780779306 | Clara Myers | Individual | Rheumatology Physician | Jackson, MS |
| 1659466274 | Linda Rockhold | Individual | Rheumatology Physician | Jackson, MS |
| 1396830485 | Laura Carroll | Individual | Family Nurse Practitioner | Jackson, MS |
| 1053494831 | David Mchenry | Individual | Neurology Physician | Jackson, MS |
| 1316089634 | David Seago | Individual | Oral and Maxillofacial Surgery (Dentist) | Jackson, MS |
| 1427190750 | Stephen Gandy | Individual | Oral and Maxillofacial Surgery (Dentist) | Jackson, MS |
Verify this record
Cross-check NPI 1770987638 against the authoritative CMS record: view Jackson Neurocare, 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 Jackson Neurocare, Pllc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-10-21.