Generational Health of Mississippi is a Primary Care Clinic/Center (organization) practicing in Jackson, Mississippi. The National Provider Identifier (NPI) is #1376429902, which was assigned on August 11, 2025, and the registration record was last updated on August 11, 2025. The practitioner's main practice location is at 4780 I 55 N, Jackson, MS 39211-5542; the contact telephone number is 7133389901. The primary taxonomy of Generational Health of Mississippi is Primary Care Clinic/Center (261QP2300X), with specialization in Primary Care. The authorized official for Generational Health of Mississippi is Eeman Tariq (Owner).
| NPI | 1376429902 |
| Entity Type | Organization |
| Organization Name | GENERATIONAL HEALTH OF MISSISSIPPI |
| Provider Name | GENERATIONAL HEALTH OF MISSISSIPPI |
| Practice Address |
4780 I 55 N Jackson MS 39211-5542 |
| Practice Telephone | 7133389901 |
| Mailing Address |
4780 I 55 N Jackson MS 39211-5542 |
| Certification Date | 2025-08-11 |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |
| Is Organization Subpart | N |
| Official Name | EEMAN TARIQ |
| Official Title | OWNER |
| Telephone | 7133389901 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 261QP2300X | Clinic/Center | Primary Care |
| Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Grouping | Ambulatory Health Care Facilities |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cassandra L Wible Fnp-C Scorp | 1140 Bannock St Unit 1730, Denver, CO 80204-3847 | Primary Care Clinic/Center | 2025-08-28 |
| Evolving Wellness Solutions | 9 Highland Shore Dr, Danville, IL 61832-1347 | Primary Care Clinic/Center | 2025-09-01 |
| Patrick Medical Center, LLC | 6882 W Flagler St, Miami, FL 33144-2814 | Primary Care Clinic/Center | 2025-08-27 |
| North Broadway Medical Family Practice PC | 469 N Broadway, Dr. Noor Ibraheem, Yonkers, NY 10701-1960 | Primary Care Clinic/Center | 2025-09-06 |
| Callie Talley Cnp Plc | 10036 Highway 358, Paragould, AR 72450-9630 | Primary Care Clinic/Center | 2025-09-02 |
| Morgan Health Consulting Services | 13820 W Newberry Rd Ste 300, Newberry, FL 32669-3700 | Primary Care Clinic/Center | 2025-08-29 |
| Lynay Medical, LLC | 1 Still Hopes Dr, West Columbia, SC 29169-7164 | Primary Care Clinic/Center | 2025-09-03 |
| Liveactive Primary Care Tampa, LLC | 8849 Hawbuck St Ste A, New Port Richey, FL 34655-9805 | Primary Care Clinic/Center | 2025-09-02 |
| Happy Health & Wellness | 338 W 300 N Ste 5, Hyde Park, UT 84318-4044 | Primary Care Clinic/Center | 2025-08-29 |
| Scholarcare, Inc. | 1209 N Orange St, Wilmington, DE 19801-1120 | Primary Care Clinic/Center | 2025-09-05 |
| Find all providers with the same taxonomy | |||
| Street Address |
4780 I 55 N |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-5542 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Breonna Baltimore | 4780 I 55 N Ste 105, Jackson, MS 39211-5542 | Case Manager/Care Coordinator | 2025-06-10 |
| Kiajah Evans | 4780 I 55 N Ste 105, Jackson, MS 39211-5542 | Case Manager/Care Coordinator | 2025-03-18 |
| Lagwenia Simon | 4780 I 55 N Ste 105, Jackson, MS 39211-5542 | Mental Health Counselor | 2025-07-24 |
| Ability Home Care, LLC | 4780 I 55 N, Jackson, MS 39211-5542 | Home Infusion Agency | 2025-02-07 |
| Latoya Hardy | 4780 I 55 N, Jackson, MS 39211-5542 | Registered Nurse | 2025-02-26 |
| Octavia Johnson | 4780 I 55 N Ste 105, Jackson, MS 39211-5542 | Mental Health Counselor | 2025-07-24 |
| Shacaria Johnson | 4780 I 55 N Ste 105, Jackson, MS 39211-5542 | Case Manager/Care Coordinator | 2025-06-10 |
| Carolina Morales | 4780 I 55 N Ste 105, Jackson, MS 39211-5542 | Case Manager/Care Coordinator | 2025-07-24 |
| Genesis Gee | 4780 I 55 N Ste 105, Jackson, MS 39211-5542 | Case Manager/Care Coordinator | 2025-07-24 |
| Terry Thomas | 4780 I 55 N Ste 105, Jackson, MS 39211-5542 | Case Manager/Care Coordinator | 2025-07-24 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Nishablessedhands LLC | 1523 E County Line Rd Apt L96, Apt L96, Jackson, MS 39211-1811 | Prosthetic/Orthotic Supplier | 2025-09-04 |
| State of Mississippi - University of Mississippi Medical Center | 3850 Eastwood Drive, Jackson, MS 39211 | Pediatric Skilled Nursing Facility | 2025-03-17 |
| Quarnisha Walker | 1523 E County Line Rd Apt L96, Jackson, MS 39211-1811 | Prosthetic/Orthotic Supplier | 2025-05-26 |
| Michael A Reddix | 5903 Ridgewood Road, Suite 310, Reddix Medical Group, Jackson, MS 39211-3702 | Internal Medicine Physician | 2006-07-28 |
| Homecare Hospice, LLC | 13 Northtown Dr Ste 130, Jackson, MS 39211-3047 | Community Based Hospice Care Agency | 2006-11-08 |
| Katie Breann Hutson | 6040 I 55 N, Jackson, MS 39211-2641 | Behavioral Analyst | 2025-03-10 |
| Sarah Grace Evans | 13 Northtown Dr Ste 110, Jackson, MS 39211-3047 | Speech-Language Pathologist | 2025-03-28 |
| William B Hillegass Jr. | Select Specialty - Cardiology, 5903 Ridgewood Road, Jackson, MS 39211-1900 | Cardiovascular Disease Physician | 2006-06-30 |
| Nishablessedhands LLC | 1523 E County Line Rd Apt L96, Jackson, MS 39211-1811 | Prosthetic/Orthotic Supplier | 2025-09-04 |
| Doris Hines | 1319 Springdale Dr, Jackson, MS 39211-3226 | Clinical Social Worker | 2025-08-27 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Generational Health | 719 East Blvd, Charlotte, NC 28203-5113 | Adult Mental Health Clinic/Center | 2025-08-21 |
| State of Mississippi - University of Mississippi Medical Center | 239 Bowling Green Rd, Lexington, MS 39095-5167 | Emergency Medicine Physician | 2006-08-17 |
| Generational Health | 333 Texas St Ste 1300, Shreveport, LA 71101-3783 | General Practice Physician | 2025-02-21 |
| Generational Health of Texas | 6833 Coit Rd Ste 104, Plano, TX 75024-5400 | Primary Care Nurse Practitioner | 2025-02-21 |
| State of Mississippi - University of Mississippi Medical Center | 764 Lakeland Dr, Jackson, MS 39216-4651 | Eyewear Supplier | 2025-05-20 |
| Generational Health of Louisiana | 915 Olive St, Shreveport, LA 71104-2103 | Certified Registered Nurse Anesthetist | 2025-01-02 |
| Generational Health Services LLC | 545 Metro Pl S Ste 100, Dublin, OH 43017-5353 | Home Health Agency | 2024-03-11 |
| Generational Health | 719 East Blvd, Charlotte, NC 28203-5113 | Community/Behavioral Health Agency | 2025-05-14 |
| Generational Health of Florida | 515 E Las Olas Blvd # 1301-I85, Fort Lauderdale, FL 33301-2296 | Family Medicine Physician | 2025-05-12 |
| Generational Health of Oklahoma | 10601 S Western Ave, Oklahoma City, OK 73170-6200 | Primary Care Clinic/Center | 2025-08-11 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |