Organization · Type 2 NPI

Premise Health of Mississippi Medical PC

Multi-Specialty Clinic/Center · Jackson, MS

NPI number 1063185916 Active

Practice location

6311 Ridgewood Rd
Jackson, MS 39211-2035

Call (601) 977-8270 Map

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Caryl P. Sumrall, FNPFamily Nurse Practitioner Jackson, MS NPI 1003840646

Other multi-specialty clinic/center providers in Jackson

See all in Jackson →

NPI record

NPI: 1063185916
Entity type: Organization (Type 2)
Issued: Jul 27, 2021
Last updated: Jan 29, 2026
Status: Active

Other names

<unavail>
Mississippi Farm Bureau - Jackson · doing business as
Mississippi Farm Bureau - Jackson · doing business as

Authorized official

Edward William Schwartz
President
(844) 407-7557

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063185916

Premise Health of Mississippi Medical PC's National Provider Identifier is 1063185916, issued on Jul 27, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jackson, MS. The record was last updated on Jan 29, 2026.