NPI 1447249354 · live from the CMS NPI Registry
Gastrointestinal Endoscopy Center
Internal Medicine, Gastroenterology in Jackson, MS. National Provider Identifier 1447249354, active.
NPI record
| NPI | 1447249354 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1405 N State St, Suite 300, Jackson, MS 39202 |
| Practice phone | 601-355-1234 |
| Enumerated | October 14, 2005 |
| Last updated | September 11, 2025 |
| Authorized official | Reed Hogan, President Of Corp |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.