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

Sally R Thomas

Individual provider Primary Care Nurse Practitioner · NPI 1487244356

Sally R Thomas is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2019, 7 years ago. Practices with Uppal Medical Center LLC, a 131-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-6060
Fax: (601) 200-6767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 904076 (MS)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 904076 (MS)

Record details

NPI number1487244356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing addressPo Box 23457, Jackson, MS 39225-3457

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Uppal Medical Center Llc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson