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

Individual provider Pediatrics Physician · NPI 1669784930

Justin Alan Qualls, MD is a Pediatrics Physician in Jackson, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 985-5532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2124 14th St, Meridian, MS 39301-4040 — (601) 553-6306

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 22402 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence 22402 (MS)

Record details

NPI number1669784930
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 2, 2010
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

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