Active NPI
Vanessa Lackey Sandifer, MD
- Endocrinology, Diabetes & Metabolism Physician
- Jackson, MS
National Provider Identifier
1104002898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 20965
- Practice address
- 971 Lakeland Dr
Suite 450
Jackson, MS 39216-4643 - Phone
- (601) 948-5158
- Fax
- (601) 326-4265
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 20965 | MS | Primary |
Addresses
Primary practice location
971 Lakeland Dr
Suite 450
Jackson, MS 39216-4643
Mailing address
971 Lakeland Drive
Suite 450
Jackson, MS 39216-0450
Phone (601) 948-5158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Mississippi School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
971 Lakeland Dr
Suite 450
Jackson, MS 39216-4615
Phone (601) 326-4255
Hospital & facility affiliations
- St Dominic-Jackson Memorial Hospital
- Mississippi Baptist Medical Center
- Merit Health Women'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.53 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Metro Family Medical Clinic | Past | Accepting new patients |
Interoperability endpoints
- vanessa.sandifer@direct.decm.nextgenshare.com
- https://api.platform.athenahealth.com/9272/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Jackson, MS
- NPI 1568764504
-
- Ph.D. Medical Genetics
- Richland, MS
- NPI 1750447926
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- Women's Hospital
- Jackson, MS
- NPI 1285681841
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1104002898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "971 LAKELAND DRIVE",
"address_2": "SUITE 450",
"city": "JACKSON",
"state": "MS",
"postal_code": "392160450",
"telephone_number": "601-948-5158",
"fax_number": "601-949-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 LAKELAND DR",
"address_2": "SUITE 450",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164643",
"telephone_number": "601-948-5158",
"fax_number": "601-326-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDIFER",
"first_name": "VANESSA",
"middle_name": "LACKEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MS",
"license": "20965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.