CROSSGATES HMA MEDICAL GROUP LLC
NPI 1639401524
Internal Medicine in Brandon, MS
NPI Status: Active since February 03, 2010
Contact Information
350 CROSSGATES BLVD
BRANDON, MS
ZIP 39042
Phone: (239) 598-3131
Fax: (239) 592-0438
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 25D2064917
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-30-2025
About CROSSGATES HMA MEDICAL GROUP LLC
This page provides the complete NPI Profile along with additional information for Crossgates Hma Medical Group Llc, an internist established in Brandon, Mississippi operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1639401524 assigned on February 2010. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Crossgates Hma Medical Group Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. James P Wright (Director)
- NPI
- 1639401524
- Provider Name
- CROSSGATES HMA MEDICAL GROUP LLC
- Entity Type
- Organization
- Location Address
- 350 CROSSGATES BLVD BRANDON, MS 39042
- Location Phone
- (239) 598-3131
- Location Fax
- (239) 592-0438
- Mailing Address
- PO BOX 689022 FRANKLIN, TN 37068
- Mailing Phone
- (615) 465-7000
- Mailing Fax
- (239) 592-0438
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-03-2010
- Last Update Date
- 02-11-2015
- Code Navigator
An internist like Crossgates Hma Medical Group Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 5 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 6 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 7 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- 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 |
|---|---|---|---|
| 302G707132 | MEDICARE PIN (08) | 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
- 25D2064917
- Facility Type
- Physician Office
- Certificate Effective Date
- October 01, 2023
- Certificate Expiration Date
- September 30, 2025
- Laboratory Director
- KIMBERLY S. MOORE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Crossgates Hma Medical Group Llc 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 | 6 | 3 | 9 | 4 | 0 | 1 | 5 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 8 | 0 | 2 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 8 + 0 + 2 + 5 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1639401524 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1538118724 | DR. ANDREW SPENCER ANFANGER M.D Individual | Emergency Medicine | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 856-2677 |
| 1831148972 | SALVADOR ARCEO III M.D. Individual | Emergency Medicine | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 898-1663 |
| 1881643500 | DEBORAH MILES ABLES N.P. Individual | Emergency Medicine | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 845-8039 |
| 1346299898 | CAROL SCHWANEBECK N.P. Individual | Emergency Medicine | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 679-1665 |
| 1588613046 | DR. JOHN JOSEPH COOK M.D. Individual | Emergency Medicine | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 366-3222 |
| 1376577239 | DR. ANN D PATTERSON MD Individual | Anesthesiology | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8280 |
| 1306856794 | BHARTI V PATEL M.D. Individual | Anesthesiology | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8586 |
| 1376553776 | KAREN M VAN TASSEL M.D. Individual | Anesthesiology | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8586 |
| 1730199159 | CHELE ANN VEACH M.D. Individual | Anesthesiology | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8586 |
| 1043221146 | CLINICAL PARTNERS INC Organization | Registered Nurse | 350 CROSSGATES BLVD BRANDON, MS 39042 (954) 545-0337 |
| 1730399346 | BRANDON HMA LLC Organization | Internal Medicine (Cardiovascular Disease) | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8583 |
| 1831398627 | INPATIENT CARE, PLLC Organization | Hospitalist | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8328 |
| 1891964839 | PREFERRED ANESTHESIA Organization | Anesthesiology | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8525 |
| 1871754119 | MISSISSIPPI EM I MEDICAL SERVICES Organization | Physician Assistant | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8500 |
| 1841451176 | RED HILLS EMERGENCY PHYSICIANS Organization | Emergency Medicine | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8500 |
| 1477820736 | MISSISSIPPI HMA HOSPITALISTS, LLC Organization | Hospitalist | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8501 |
| 1467715854 | CROSSGATES HMA MEDICAL GROUP, LLC Organization | Anesthesiology (Pediatric Anesthesiology) | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8465 |
| 1447593306 | MISSISSIPPI EMERGENCY PHYSICIAN SERVICES, LLC Organization | Emergency Medicine | 350 CROSSGATES BLVD BRANDON, MS 39042 (228) 432-1571 |
| 1700178753 | RIVER OAKS MANAGEMENT COMPANY, LLC Organization | Hospitalist | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8330 |
| 1588284087 | BRANDON HMA LLC Organization | Clinical Medical Laboratory | 350 CROSSGATES BLVD BRANDON, MS 39042 (601) 824-8501 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639401524, enumerated in the NPI registry as an "organization" on February 03, 2010
The provider is located at 350 Crossgates Blvd Brandon, Ms 39042 and the phone number is (239) 598-3131
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D2064917 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 February 03, 2010. 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.