NPIMap

Organization Active NPI

Medical Foundation of Central Mississippi

Doing business as Baptist Medical Clinic

  • Cardiovascular Disease Physician
  • Yazoo City, MS
National Provider Identifier
1033440268
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
06730 Issued in MS
Legal business name
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Doing business as
Baptist Medical Clinic
Practice address
828 Grand Avenue
Yazoo City, MS 39194
Phone
(662) 746-2261
Fax
(662) 751-8173
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Elizabeth H Mullins
Title
Director of Clinic Administration
Phone
(601) 292-4261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 06730 MS Primary

Addresses

Primary practice location

828 Grand Avenue
Yazoo City, MS 39194

Mailing address

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

Other names 1

  • Baptist Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Foundation of Central Ms Inc43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

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

828 Grand Ave
Yazoo City, MS 39194
Phone (662) 746-2261

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1033440268",
    "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": "828 GRAND AVENUE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "39194",
            "telephone_number": "662-746-2261",
            "fax_number": "662-751-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC ADMINISTRATION",
        "authorized_official_telephone_number": "601-292-4261"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "06730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yazoo City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.