Landmark Internal Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LANDMARK INTERNAL MEDICINE

Practice address

7615 Clarington CV
Southaven, MS 38671-5647

Phone

(332) 536-2500

Fax

(662) 536-2505

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mukesh Jain, M.D.NPI 1447282991

Title

President

Phone

(662) 536-2500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJIHAA

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mukesh Jain, MD

  • Internal Medicine Physician
  • Southaven, MS
  • NPI 1447282991

  Specialist, TN

  Medicare reassignment NPD Authorized official
• Barbara Coleman

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1174344295
  Medicare reassignment NPD
• Charity Barringer Milam, C.N.P

  • Primary Care Nurse Practitioner
  • Southaven, MS
  • NPI 1528429214
  Medicare reassignment NPD
• Samantha Joanne Justice, NP

  • Family Nurse Practitioner
  • Tishomingo, MS
  • NPI 1013267152
  NPD
• Katie Kerr, FNP

  • Family Nurse Practitioner
  • Booneville, MS
  • NPI 1144800251
  NPD
• Portia Payne

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1578252276
  NPD
• Virginia Allyn Wachter, APRN

  • Family Nurse Practitioner
  • Oxford, MS
  • NPI 1932689312
  NPD (past)
• Cheri Yovonne Buggs, APRN

  • Gerontology Nurse Practitioner
  • Somerville, TN
  • NPI 1609530955
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215058094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 CLARINGTON CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715647",
            "telephone_number": "332-536-2500",
            "fax_number": "662-536-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 CLARINGTON CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715647",
            "telephone_number": "332-536-2500",
            "fax_number": "662-536-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-536-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06326035",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3718595",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parth Ajay Ladha, MD
• Brittany J Lake, MD
• Vivek Lakha
• Gene Gerard Lamanilao, MD
• Gregory Keith Lambert, CRNA
• Jane Heather Larkin, OTR/L
• Crystal Lawrence, COTA/L
• Valerie Layne, RD, LD
• Ma Tessa Lolita Diaz Layugan, M.D.
• Learning to Live Again

• Specialist in Southaven, MS
• Providers in Southaven, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.