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

Mitzi Ferguson, MD, LLC

Organization General Practice Physician · NPI 1952687717

Mitzi Ferguson, MD, LLC is a General Practice Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4500 I 55 N Ste 215
Jackson, MS 39211-5930
Phone: (601) 212-0955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 09298 (MS)

Record details

NPI number1952687717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Kerley — Credentialing/Billing Specialist · (601) 957-7340
NPI enumeratedOctober 25, 2011
Last updated in NPPESOctober 25, 2011
Mailing address1990 Petit Bois St N, Jackson, MS 39211-6707

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