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

Jensen Ciacci, PA

Individual provider Physician Assistant · NPI 1902650195

Jensen Ciacci, PA is a Physician Assistant in Laurel, Mississippi. Qualified in 2024, 2 years ago. Practices with South Central Clinics, Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1002 Jefferson St Ste 400
Laurel, MS 39440
Phone: (601) 649-7802
Show map & directions

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

Additional practice locations (1)

  • 48751 Outpost Rd, Caldwell, OH 43724-9491 — (740) 509-0879

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1902650195
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 15, 2024
Last updated in NPPESOctober 4, 2024
Certification dateOctober 2, 2024
Mailing addressPo Box 247, Laurel, MS 39441-0247

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice South Central Clinics, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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