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

State of Mississippi - University of Mississippi Medical Center

Organization Pediatric Skilled Nursing Facility · NPI 1114727385

State of Mississippi - University of Mississippi Medical Center is a Pediatric Skilled Nursing Facility in Jackson, Mississippi. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3850 Eastwood Dr
Jackson, MS 39211
Phone: (601) 984-2972
Show map & directions

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

Specialties & licences

Pediatric Skilled Nursing Facility (primary) Taxonomy 3140N1450X

Record details

NPI number1114727385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Grimsley — Associate Cfo-Clinical Operations · (601) 815-6270
Other names Alyce G. Clarke Center For Medically Fragile Children
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 11, 2025
Mailing addressPo Box 11407, Birmingham, AL 35246-3035