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NPI · 1790069854 · NPPES-sourced

Periodontal Associates Of Jackson, P.A.

ActivePeriodontics
NPI Number
1790069854
Type 2 · Organisation
Taxonomy Code
1223P0300X
Contact
(601) 956-1230
License MS · 1845-79
Last Updated
Enumerated
Primary practice addressMS · 39206
406 Briarwood Dr., Ste. 101Jackson, MS 39206
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About this NPIWhat this record shows.

NPI 1790069854 is registered to Periodontal Associates Of Jackson, P.A., a healthcare organisation classified as "Periodontics" and located at 406 Briarwood Dr., Ste. 101 in Jackson, Mississippi. The organisation's authorised official is Roger Parkes. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
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 Periodontal Associates Of Jackson, P.A. accepts. To confirm in-network status with your specific health plan, contact Periodontal Associates Of Jackson, P.A. directly at (601) 956-1230.

Frequently asked

Yes. NPI 1790069854 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Periodontics 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) 956-1230.

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. Periodontal Associates Of Jackson, P.A. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223P0300X
Last updated
Enumerated
StatusActive
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