JACKSON LUNG CLINIC – NPI #1225105315
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

JACKSON LUNG CLINIC is a provider located in JACKSON, MS. NPPES has assigned the NPI number 1225105315 to JACKSON LUNG CLINIC on November 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON LUNG CLINIC below.

NPI Profile for
JACKSON LUNG CLINIC

NPI Number
1225105315
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON LUNG CLINIC
Primary location
1151 N STATE ST
SUITE 301
JACKSON, MS 39202-2407
Phone: (601) 352-0041 Fax: (601) 352-0043
Mailing address
PO BOX 967
JACKSON, MS 39205-0967
Phone: (601) 936-6001 Fax: (601) 936-4389
Organization Subpart
No
Authorized Official
WILLIAM FRAZIER
MANAGING OWNER
Phone: (601) 936-6001
Updated
Identifiers

Identifiers for JACKSON LUNG CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS09015305
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.