MISSISSIPPI FOOT SPECIALISTS PC
NPI 1972643708
Durable Medical Equipment & Medical Supplies in Belzoni, MS

NPI Status: Active since February 08, 2007

Contact Information

107 CHURCH ST
BELZONI, MS
ZIP 39038
Phone: (662) 513-6600
Fax: (662) 513-0960

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 25D2321282
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-31-2027

About MISSISSIPPI FOOT SPECIALISTS PC

This page provides the complete NPI Profile along with additional information for Mississippi Foot Specialists Pc, a provider established in Belzoni, Mississippi operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1972643708 assigned on February 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is R Michael Whitmore Dpm (President)

NPI
1972643708
Provider Name
MISSISSIPPI FOOT SPECIALISTS PC
Entity Type
Organization
Location Address
107 CHURCH ST BELZONI, MS 39038
Location Phone
(662) 513-6600
Location Fax
(662) 513-0960
Mailing Address
PO BOX 1233 OXFORD, MS 38655
Mailing Phone
(662) 513-6600
Mailing Fax
(662) 513-0960
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2007
Last Update Date
08-22-2020
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

R MICHAEL WHITMORE DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(662) 513-6600

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
02333593MEDICAID (05)MS 
4984180013OTHER (01)MSPALMETTO GBA DME SUPPLIER

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
25D2321282
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 01, 2025
Certificate Expiration Date
March 31, 2027
Laboratory Director
JAMES B. SHIPP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mississippi Foot Specialists Pc 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.
1972643708
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142124670
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 2 + 4 + 6 + 7 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1972643708 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972572683MR. SIDNEY CARLTON GORTON MD
Individual
Internal Medicine107 CHURCH ST
BELZONI, MS 39038
(662) 247-2105
1528037116MR. WALTER M GORTON M.D.
Individual
Internal Medicine107 CHURCH ST
BELZONI, MS 39038
(662) 247-2105
1225164122GORTON LAB AND X-RAY, LLC
Organization
Family Medicine107 CHURCH ST
BELZONI, MS 39038
(662) 247-2105
1699801654GORTON RURAL HEALTH CLINIC
Organization
Clinic/Center (Rural Health)107 CHURCH ST
BELZONI, MS 39038
(662) 247-2105
1841799616 JEFFREY B HUGHES PA
Individual
Physician Assistant (Medical)107 CHURCH ST
BELZONI, MS 39038
(662) 247-2105
1407410947 LYNN NEVELS WHITEHEAD NP-C
Individual
Nurse Practitioner107 CHURCH ST
BELZONI, MS 39038
(662) 247-4849
1881392199 BAYLEE RICHARDSON PA-C
Individual
Family Medicine107 CHURCH ST
BELZONI, MS 39038
(662) 247-2105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972643708, enumerated in the NPI registry as an "organization" on February 08, 2007

The provider is located at 107 Church St Belzoni, Ms 39038 and the phone number is (662) 513-6600

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: 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 25D2321282 for a "ambulatory surgery center" 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 February 08, 2007. 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.