Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Generational Health of Mississippi

Organization Primary Care Clinic/Center · NPI 1376429902

Generational Health of Mississippi is a Primary Care Clinic/Center in Jackson, Mississippi. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4780 I 55 N
Jackson, MS 39211-5542
Phone: (713) 338-9901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1376429902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eeman Tariq — Owner · (713) 338-9901
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address4780 I 55 N, Jackson, MS 39211-5542

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