MEDICAL FOUNDATION OF CENTRAL MS INC
NPI 1639586076
Internal Medicine - Cardiovascular Disease in Jackson, MS
NPI Status: Active since July 17, 2014
Contact Information
501 MARSHALL ST
SUITE 104
JACKSON, MS
ZIP 39202
Phone: (601) 969-6404
Fax: (601) 944-9780
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 25D2004818
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-18-2026
About MEDICAL FOUNDATION OF CENTRAL MS INC
This page provides the complete NPI Profile along with additional information for Medical Foundation Of Central Ms Inc, an internist established in Jackson, Mississippi operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1639586076 assigned on July 2014. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Medical Foundation Of Central Ms Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Medical Foundation Of Central Ms Inc. The authorized official of this NPI record is Elizabeth Mullins (President Of Baptist Medical Clinic)
- NPI
- 1639586076
- Provider Legal Name
- BAPTIST HEART
- Other Organization Name
- MEDICAL FOUNDATION OF CENTRAL MS INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 501 MARSHALL ST SUITE 104 JACKSON, MS 39202
- Location Phone
- (601) 969-6404
- Location Fax
- (601) 944-9780
- Mailing Address
- 501 MARSHALL ST SUITE 104 JACKSON, MS 39202
- Mailing Phone
- (601) 969-6404
- Mailing Fax
- (601) 944-9780
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2014
- Last Update Date
- 07-17-2014
- Code Navigator
An internist like Medical Foundation Of Central Ms Inc 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 Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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.
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
- 25D2004818
- Facility Type
- Physician Office
- Certificate Effective Date
- November 19, 2024
- Certificate Expiration Date
- November 18, 2026
- Laboratory Director
- DR. JAMES L. WARNOCK JR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical Foundation Of Central Ms Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 5 | 8 | 6 | 0 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 8 | 12 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 8 + 1 + 2 + 0 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1639586076 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1932176641 | SABRA SULLIVAN M.D., PHD. Individual | Dermatology (Procedural Dermatology) | 501 MARSHALL ST SUITE 606 JACKSON, MS 39202 (601) 355-8555 |
| 1548219884 | PREMIER MEDICAL GROUP OF MISSISSIPPI LLC Organization | Clinic/Center | 501 MARSHALL ST SUITE 208 JACKSON, MS 39202 (601) 352-2273 |
| 1093752297 | DR. KENNETH GILES PERRY JR. M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 501 MARSHALL ST SUITE 601 JACKSON, MS 39202 (601) 948-6540 |
| 1013944214 | DR. VIRGINIA A JONES MD Individual | Obstetrics & Gynecology | 501 MARSHALL ST STE 400 JACKSON, MS 39202 (601) 354-0869 |
| 1922035120 | DR. THOMAS L WILEY MD Individual | Obstetrics & Gynecology | 501 MARSHALL ST STE 400 JACKSON, MS 39202 (601) 354-0869 |
| 1003843210 | THE WOMANS CLINIC OF MS PLLC Organization | Obstetrics & Gynecology | 501 MARSHALL ST SUITE 400 JACKSON, MS 39202 (601) 354-0869 |
| 1285661413 | DR. LAWRENCE S GOLDSTEIN MD Individual | Obstetrics & Gynecology | 501 MARSHALL ST STE 400 JACKSON, MS 39202 (601) 354-0869 |
| 1992732127 | DR. MEREDITH M TRAVELSTEAD MD Individual | Obstetrics & Gynecology | 501 MARSHALL ST STE 400 JACKSON, MS 39202 (601) 354-0869 |
| 1962430074 | DR. ELIZABETH WYATT MITCHELL M.D. Individual | Ophthalmology | 501 MARSHALL ST SUITE 603 JACKSON, MS 39202 (601) 352-6233 |
| 1265456362 | NEUROLOGICAL ASSOCIATES Organization | Neurological Surgery | 501 MARSHALL ST STE 501 JACKSON, MS 39202 (601) 355-3353 |
| 1487769154 | DR. ANTHONY BEDEAR PETRO M.D. Individual | Surgery | 501 MARSHALL ST SUITE 500 JACKSON, MS 39202 (601) 948-1411 |
| 1083729784 | DR. CARL RANDLE VOYLES M.D. Individual | Surgery | 501 MARSHALL ST SUITE 500 JACKSON, MS 39202 (601) 948-1411 |
| 1932214640 | DR. ALEXANDER JOHN HAICK JR. M.D. Individual | Surgery | 501 MARSHALL ST SUITE 500 JACKSON, MS 39202 (601) 948-1411 |
| 1326153149 | DR. GEORGE EDWARD COPELAND III M.D. Individual | Surgery | 501 MARSHALL ST SUITE 500 JACKSON, MS 39202 (601) 948-1411 |
| 1326154980 | SARAH J BROOM MD Individual | Internal Medicine (Pulmonary Disease) | 501 MARSHALL ST STE 208 JACKSON, MS 39202 (601) 352-2273 |
| 1336236710 | THE EYE SURGERY AND LASER CENTER Organization | Clinic/Center (Ophthalmologic Surgery) | 501 MARSHALL ST SUITE 604 JACKSON, MS 39202 (601) 985-9120 |
| 1821185786 | THE SURGICAL CLINIC ASSOCIATES, P.A. Organization | Surgery | 501 MARSHALL ST SUITE 500 JACKSON, MS 39202 (601) 948-1411 |
| 1245302330 | DALE G READ M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 501 MARSHALL ST SUITE 208 JACKSON, MS 39202 (601) 352-2273 |
| 1477625614 | BRUCE W LAMBUTH M.D. Individual | Internal Medicine | 501 MARSHALL ST SUITE 208 JACKSON, MS 39202 (601) 352-2273 |
| 1053483735 | PREMIER MEDICAL MANAGEMENT OF MISSISSIPPI, INC Organization | Clinic/Center (Endoscopy) | 501 MARSHALL ST SUITE 201 JACKSON, MS 39202 (601) 352-2273 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639586076, enumerated in the NPI registry as an "organization" on July 17, 2014
The provider is located at 501 Marshall St Suite 104 Jackson, Ms 39202 and the phone number is (601) 969-6404
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider's CLIA number is 25D2004818 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 17, 2014. 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].
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