Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Central Medical Clinic, PA

Organization Internal Medicine Physician · NPI 1396806857

Central Medical Clinic, PA provides Internal Medicine Physician services in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1190 N State St Ste 201
Jackson, MS 39202-2413 Not confirmed with CMS for 18 years — call before visiting
Phone: (601) 352-7011
Fax: (601) 352-3173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (MS)

Record details

NPI number1396806857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gordon Delashmet — President · (601) 352-7011
NPI enumeratedDecember 12, 2006
Last updated in NPPESDecember 14, 2007
Mailing address1190 N State St, Suite 201, Jackson, MS 39202-2413

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