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

Wound and Podiatry Center

Organization Sports Medicine Podiatrist · NPI 1790051738

Wound and Podiatry Center provides Sports Medicine Podiatrist services in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1815 Hospital Dr Ste 434
Jackson, MS 39204-3425 Not confirmed with CMS for 14 years — call before visiting
Phone: (601) 405-5583
Fax: (601) 502-0111
Show map & directions

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

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence 80107 (MS)
Sports Medicine Podiatrist Taxonomy 213ES0000X · Licence 80107 (MS)

Record details

NPI number1790051738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Percy Anderson — Ceo/Owner · (601) 502-1100
NPI enumeratedMarch 23, 2012
Last updated in NPPESMarch 23, 2012
Mailing address1815 Hospital Dr, Suite 434, Jackson, MS 39204-3425