Active NPI
Crescentworld Enterprises, PLLC
- Internal Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CRESCENTWORLD ENTERPRISES, PLLC
- Practice address
- 406 Briarwood Dr Ste 401
Jackson, MS 39206-3063 - Phone
- (601) 707-7899
- Fax
- (866) 304-0148
- NPI assigned
- Jul 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Berthrone Mock-Muhammad, MD, FACC
- Title
- Physician Owner
- Phone
- (601) 707-7899
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Cardiopulmonary Physical Therapist | 2251C2600X | |||
| Clinical Electrophysiology Physical Therapist | 2251E1300X | |||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
406 Briarwood Dr Ste 401
Jackson, MS 39206-3063
Mailing address
PO Box 5025
Jackson, MS 39296-5025
Phone (601) 707-7899
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285781153 | Other | MS | NPI |
| 03925069 | Medicaid | MS |
Other names 2
- Heart Plus Center
- HeartPLUS Diagnostic Clinic /Celestial Health & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
406 Briarwood Dr
Ste 401
Jackson, MS 39206
Phone (601) 326-2300
670 Highway 51
Ste B
Ridgeland, MS 39157
Phone (601) 707-7899
297 Highway 51
Ridgeland, MS 39157
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Jackson, MS
- NPI 1285781153
Multi-Specialty
-
- Nurse Practitioner
- Pearl, MS
- NPI 1467050419
-
- Family Nurse Practitioner
- Ridgeland, MS
- NPI 1578195293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1124436977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5025",
"city": "JACKSON",
"state": "MS",
"postal_code": "392965025",
"telephone_number": "601-707-7899",
"fax_number": "866-304-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 BRIARWOOD DR STE 401",
"city": "JACKSON",
"state": "MS",
"postal_code": "392063063",
"telephone_number": "601-707-7899",
"fax_number": "866-304-0148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESCENTWORLD ENTERPRISES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-24",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "MOCK-MUHAMMAD",
"authorized_official_first_name": "BERTHRONE",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "601-707-7899",
"authorized_official_credential": "MD, FACC"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251C2600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Cardiopulmonary",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251E1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1285781153",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03925069",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heart Plus Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HeartPLUS Diagnostic Clinic /Celestial Health & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 26, 2023; 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.