Medical Foundation of Central Ms
Organization Active NPI Family Medicine Physician · Brandon, MS
NPI 1114264264 · NPPES record last updated Jan 9, 2013
Key facts
- NPI
- 1114264264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MEDICAL FOUNDATION OF CENTRAL MS
- Practice address
- 1490 W Government St
Suite 10
Brandon, MS 39042-3024 - Phone
- (601) 825-1936
- Fax
- (601) 825-1937
- NPI assigned
- Jan 9, 2013
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Mullins
- Title
- President Baptist Medical Clinics
- Phone
- (601) 292-4261
Other NPIs on the same Medicare enrollment 10
Practitioners 420
-
Craig Vorpe Adams, M.D.
-
Sridevi Alla, M.D.
-
Stephen David Anderson, M.D.
-
Anamaria Andrei, M.D
-
Claudia Weir Anthony, NP-C
-
Salvador Arceo III, M.D.
-
Steven Ray Arnold, ACNP
-
Namita K. Arora, M.D.
-
Azniv Azar, M.D.
-
Kenneth C Ball, M.D.
-
James Earl Bankhead Jr., CRNA
-
Christina L Barlow, M.D.
-
John Michael Barnard, D.O.
-
Bret J Barrett, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
Locations
108 Clinton Pkwy
Clinton, MS 39056
Phone (601) 926-2018
151 E Metro Dr
Ste 201
Flowood, MS 39232
Phone (601) 973-1680
118 Weisenberger Rd
Gluckstadt, MS 39110
Phone (601) 607-7940
6250 Old Canton Rd
Ste 130
Jackson, MS 39211
Phone (601) 956-7280
1151 N State St
Ste 404
Jackson, MS 39202
Phone (601) 292-4261
1190 N State St
Ste 204
Jackson, MS 39202
Phone (601) 353-8066
1190 N State St
Jackson, MS 39202
Phone (601) 968-1148
334 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-1800
401 Baptist Dr
Ste 100
Madison, MS 39110
Phone (601) 605-5393
360 Simpson Highway 149
Ste 270
Magee, MS 39111
1400 20th Ave
Ste F
Meridian, MS 39301
Phone (601) 485-0335
1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1490 W Government St
Suite 10
Brandon, MS 39042-3024
Mailing address
1490 W Government St
Suite 10
Brandon, MS 39042-3024
Phone (601) 825-1936
Other names
- Baptist Medical Clinic-Brandon
Other providers in Brandon, MS
- Leiloni McNulty
- Michael Jason McQueary
- Mea Primary Care Plus, LLC
- Janna Means
- Medezin, LLC
- Medical Foundation of Central Ms, Inc
- Medicomp, Inc.
- Shawntae Renea Melvin
- Quianti Merchant
- Nena M Merrite Williams
All providers in Brandon, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.