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NPI · 1104629336 · NPPES-sourced

Dr. Evan Buckley DO

ActiveStudent in an Organized Health Care Education/Training Program
NPI Number
1104629336
Type 1 · Individual
Contact
(601) 968-1000
Primary practice line
Last Updated
Enumerated
Primary practice addressMS · 39202-2097
1225 N State StJackson, MS 39202-2097
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About this NPIWhat this record shows.

NPI 1104629336 is registered to Dr. Evan Buckley DO, a Student in an Organized Health Care Education/Training Program practising at 1225 N State St in Jackson, Mississippi. Student in an Organized Health Care Education/Training Program is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Evan Buckley DO has been enumerated in the National Provider Identifier (NPI) registry since 2025.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Evan Buckley DO accepts. To confirm in-network status with your specific health plan, contact Dr. Evan Buckley DO directly at (601) 968-1000.

Frequently asked

Yes. NPI 1104629336 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Student in an Organized Health Care Education/Training Program is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (601) 968-1000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Evan Buckley DO is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy390200000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
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