NPIMap

Organization Active NPI

Baptist Medical Clinic - Convenient Care

  • Multi-Specialty Clinic/Center
  • Flowood, MS
National Provider Identifier
1013207091
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BAPTIST MEDICAL CLINIC - CONVENIENT CARE
Practice address
5341 Lakeland Dr
Flowood, MS 39232-6173
Phone
(601) 919-2173
Fax
(601) 919-9723
NPI assigned
Apr 12, 2011
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Terri E Parker
Title
Medical Clinic Office Coordinator
Phone
(601) 292-4261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5341 Lakeland Dr
Flowood, MS 39232-6173

Mailing address

1151 N State St
Suite 504
Jackson, MS 39202-2407
Phone (601) 292-4261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000380 MS Part B Supplier - Clinic/Group Practice 1153216411 Receives reassigned benefits from 436 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kosciusko, MS; Madison, MS; McComb, MS; Meridian, MS; Pearl, MS; Richland, MS; Winona, MS; Yazoo City, MS…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Baptist PT - Madison

Locations

151 E Metro Dr
Flowood, MS 39232

102 Lexington Dr
Gluckstadt, MS 39110
Phone (601) 499-6696

1151 N State St
Ste 504
Jackson, MS 39202
Phone (601) 354-8895

1200 N State St
#10
Jackson, MS 39202
Phone (601) 362-7280

501 Marshall St
Ste 104
Jackson, MS 39202
Phone (601) 973-4541

2173 Main St
Madison, MS 39110
Phone (601) 605-3858

1201 Highway 49 S
Richland, MS 39218
Phone (601) 932-8609

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1013207091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST",
            "address_2": "SUITE 504",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022407",
            "telephone_number": "601-292-4261",
            "fax_number": "601-292-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392326173",
            "telephone_number": "601-919-2173",
            "fax_number": "601-919-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEDICAL CLINIC - CONVENIENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL CLINIC OFFICE COORDINATOR",
        "authorized_official_telephone_number": "601-292-4261",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.