Individual provider Active NPI

Vanessa Lackey Sandifer, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Jackson, MS
National Provider Identifier
1104002898
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20965 Issued in MS
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

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000293 MS Practitioner - Endocrinology 3870788789 Reassigns benefits to 1 organization

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
Diabetes and Endocrine Center of MsGroup PAC ID 5496935421, 9 clinicians

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 Hospital, Jackson, MS, CCN 250048
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Merit Health Women'S Hospital Hospital, Flowood, MS, CCN 250136

Merit-based Incentive Payment System (MIPS)

Final score
92.53 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Metro Family Medical Clinic PastSince Nov 14, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vanessa.sandifer@direct.decm.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.