Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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State of Mississippi - University of Mississippi Medical Center

Organization Speech-Language Pathologist · NPI 1619778586

State of Mississippi - University of Mississippi Medical Center is a Speech-Language Pathologist in Jackson, Mississippi. Works from 3 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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Practice location Address checks out

350 W Woodrow Wilson Ave Ste 600
Jackson, MS 39213-7627
Phone: (601) 815-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 764 Lakeland Dr Fl 4, Jackson, MS 39216-4651 — (601) 815-6700
  • 124 Ummc Way, Ridgeland, MS 39157 — (601) 815-6064

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1619778586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Grimsley — Associate Cfo - Clinical Operations · (601) 815-6270
NPI enumeratedMarch 24, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 10, 2025
Mailing addressPo Box 11407, Birmingham, AL 35246-2130

Other providers in Jackson