EAST LAKELAND OB GYN ASSOCIATES, P.A.
NPI 1235220112
Obstetrics & Gynecology in Jackson, MS
NPI Status: Active since September 27, 2006
Contact Information
1020 RIVER OAKS DR
SUITE 320
JACKSON, MS
ZIP 39232
Phone: (601) 936-1400
Fax: (601) 936-0671
- Organization
- Obstetrics & Gynecology
- Accepts Insurance
- CLIA Number: 25D2139314
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-01-2025
About EAST LAKELAND OB GYN ASSOCIATES, P.A.
This page provides the complete NPI Profile along with additional information for East Lakeland Ob Gyn Associates, P.a., a women's health care provider established in Jackson, Mississippi operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1235220112 assigned on September 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Beverly Ann Mcmillan M.d. (President)
- NPI
- 1235220112
- Provider Name
- EAST LAKELAND OB GYN ASSOCIATES, P.A.
- Entity Type
- Organization
- Location Address
- 1020 RIVER OAKS DR SUITE 320 JACKSON, MS 39232
- Location Phone
- (601) 936-1400
- Location Fax
- (601) 936-0671
- Mailing Address
- 1020 RIVER OAKS DR SUITE 320 JACKSON, MS 39232
- Mailing Phone
- (601) 936-1400
- Mailing Fax
- (601) 936-0671
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-27-2006
- Last Update Date
- 05-27-2008
- Code Navigator
Women's health care providers like East Lakeland Ob Gyn Associates, P.a. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ========= | OTHER (01) | MS | TAX ID NUMBER |
| C00927 | MEDICARE PIN (08) | MS | |
| 9013604 | MEDICAID (05) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2139314
- Facility Type
- Physician Office
- Certificate Effective Date
- October 02, 2023
- Certificate Expiration Date
- October 01, 2025
- Laboratory Director
- MISSY J. MCMINN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to East Lakeland Ob Gyn Associates, P.a. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 2 | 2 | 0 | 1 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 4 | 2 | 0 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 4 + 2 + 0 + 1 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1235220112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144327420 | MISSISSIPPI NEUROLOGY CENTER, PA Organization | Psychiatry & Neurology (Neurology) | 1020 RIVER OAKS DR SUITE 420 FLOWOOD, MS 39232 (601) 939-4198 |
| 1649371816 | DR. MISSY JACKSON MCMINN M.D. Individual | Obstetrics & Gynecology | 1020 RIVER OAKS DR SUITE 320 JACKSON, MS 39232 (601) 936-1400 |
| 1487755641 | DR. DONNA GLYNN BREELAND M.D. Individual | Obstetrics & Gynecology | 1020 RIVER OAKS DR SUITE 320 JACKSON, MS 39232 (601) 936-1400 |
| 1427159839 | MRS. MARY KATHLEEN SARTIN CFNP Individual | Nurse Practitioner | 1020 RIVER OAKS DR SUITE 320 JACKSON, MS 39232 (601) 936-1400 |
| 1790886133 | DR. BEVERLY ANN MCMILLAN M.D. Individual | Obstetrics & Gynecology (Gynecology) | 1020 RIVER OAKS DR SUITE 320 JACKSON, MS 39232 (601) 936-1400 |
| 1417058678 | DR. SHANI KIRK MECK M.D. Individual | Obstetrics & Gynecology | 1020 RIVER OAKS DR SUITE 320 JACKSON, MS 39232 (601) 936-1400 |
| 1770674467 | MRS. SHARON K. BROWN CFNP Individual | Nurse Practitioner | 1020 RIVER OAKS DR SUITE 320 JACKSON, MS 39232 (601) 936-1400 |
| 1609957554 | DR. RALPH HUNTER DIDLAKE M.D. Individual | Surgery | 1020 RIVER OAKS DR STE 140 JACKSON, MS 39232 (601) 939-9093 |
| 1174744379 | SOUTHERN WOMEN'S HEALTH, PLLC Organization | Obstetrics & Gynecology (Obstetrics) | 1020 RIVER OAKS DR SUITE 310 JACKSON, MS 39232 (601) 932-5006 |
| 1710146311 | MRS. BRENDA JOY ROGERS RN Individual | Registered Nurse | 1020 RIVER OAKS DR STE 110 FLOWOOD, MS 39232 (601) 932-7005 |
| 1801026604 | ALICIA DANIELLE WAITS NP-C Individual | Nurse Practitioner (Adult Health) | 1020 RIVER OAKS DR SUITE 420 JACKSON, MS 39232 (601) 939-4198 |
| 1912957341 | DR. JAMES LARRY PARKER M.D. Individual | Psychiatry & Neurology (Neurology) | 1020 RIVER OAKS DR SUITE 420 FLOWOOD, MS 39232 (601) 939-0361 |
| 1134465172 | RIVER OAKS MANAGEMENT COMPANY LLC Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1020 RIVER OAKS DR SUITE 400 FLOWOOD, MS 39232 (601) 376-1394 |
| 1619300738 | MRS. DATCHE DENISE WALKER MSN, APRN, FNP-C Individual | Nurse Practitioner (Family) | 1020 RIVER OAKS DR SUITE 430 FLOWOOD, MS 39232 (601) 932-3130 |
| 1992810691 | DR. ADELE A THIEL M.D. Individual | Psychiatry & Neurology (Neurology) | 1020 RIVER OAKS DR SUITE 420 FLOWOOD, MS 39232 (601) 939-4198 |
| 1265440069 | BROOKS GRIFFIN, MD, PLLC Organization | Specialist | 1020 RIVER OAKS DR SUITE 110 FLOWOOD, MS 39232 (601) 932-7005 |
| 1144541970 | DR. MEGAN LYNN WASHINGTON D.O. Individual | Pediatrics | 1020 RIVER OAKS DR STE 100 FLOWOOD, MS 39232 (601) 326-8700 |
| 1023115565 | DR. WILLIAM GARNER BUSH M.D. Individual | Obstetrics & Gynecology | 1020 RIVER OAKS DR SUITE 410 JACKSON, MS 39232 (601) 664-0111 |
| 1821276106 | WILLIAM G. BUSH M.D., P.L.L.C Organization | Obstetrics & Gynecology | 1020 RIVER OAKS DR SUITE 410 JACKSON, MS 39232 (601) 664-0111 |
| 1538959622 | ANNA LEIGH MONTGOMERY M.S., SLP Individual | Speech-Language Pathologist | 1020 RIVER OAKS DR FLOWOOD, MS 39232 (601) 936-2393 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235220112, enumerated in the NPI registry as an "organization" on September 27, 2006
The provider is located at 1020 River Oaks Dr Suite 320 Jackson, Ms 39232 and the phone number is (601) 936-1400
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D2139314 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.