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Deactivated NPI 1740290964 Deactivated / Inactive NPI Male Practitioner

Dr. Jacob Skiwski , MD

Pediatrics • Columbus, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacob Skiwski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2006
NPI Deactivation Date August 28, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Skiwski, MD was a registered Pediatrics practicing in Columbus, MS. Throughout an active medical career spanning 19 years, Dr. Skiwski provided care at the practice location at 114 N LEHMBERG RD until profile deactivation on 2025-08-28.

Practice Location & Contact Primary Location

Practice Address

114 N Lehmberg Rd

Columbus, MS 397025554

Telephone 6623292955
Fax 6623286007
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Columbus, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 19.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Columbus, MS (436 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MS 08454

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Christopher Pennington , FNP-C

Nurse Practitioner - Family

NPI 1043670722

Family Nurse Practitioner (Certified)

Calvin French , CFNP

Nurse Practitioner - Family

NPI 1093024614
Abigail Thornhill , CPNP - PC, AC

Nurse Practitioner - Pediatrics

NPI 1114709110

CPNPPC, AC

NPI 1417527847

Doctor of Medicine (M.D.)

NPI 1427138098

Doctor of Medicine (M.D.), Master of Science

Mollie Cornelius , NP

Nurse Practitioner

NPI 1457733552

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 28, 2025

Record deactivated on August 28, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 114 N LEHMBERG RD, COLUMBUS, MS 397025554 (Tel: 6623292955)

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Updated Business Mailing Address July 08, 2007

Registered at 114 N LEHMBERG RD, COLUMBUS, MS 397025554 (Tel: 6623292955)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACOB SKIWSKI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #08454 in MS)

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Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740290964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: July 08, 2007
Deactivation Date: August 28, 2025

Mailing Address

114 N Lehmberg Rd

Columbus, MS 397025554

Phone: 6623292955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.