Sky Integrative Medical Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SKY INTEGRATIVE MEDICAL CENTER

Practice address

408 Fontaine PL Ste 104
Ridgeland, MS 39157-5189

Phone

(601) 617-7717

Fax

(601) 398-0381

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Shamekia Bennett, B.S.

Title

Manager

Phone

(601) 617-7717

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alisha Belawn McArthur Wilkes, FNP-C

  • Primary Care Nurse Practitioner
  • Ridgeland, MS
  • NPI 1982080602
  Medicare reassignment Care Compare group NPD
• Christina Dunn Farmer, FNP-C

  • Family Nurse Practitioner
  • Ridgeland, MS
  • NPI 1588398671
  Medicare reassignment Care Compare group
• Bob Hutchins

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1033150263
  NPD (past)
• Sameerah Johnson, FNP

  • Family Nurse Practitioner
  • Ridgeland, MS
  • NPI 1932079449
  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1235845892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 FONTAINE PL STE 104",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575189",
            "telephone_number": "601-617-7717",
            "fax_number": "601-398-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 FONTAINE PL STE 104",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575189",
            "telephone_number": "601-617-7717",
            "fax_number": "601-398-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY INTEGRATIVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SHAMEKIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-617-7717",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06454351",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarence Dwayne Singletary, RPT
• Sinus and Allergy Institute PLLC
• Meagan Skeen
• Rachel R Skelton, PT
• Kelly Skinner, OT
• Amanda Rhealynn Sladky, MA, LPC
• Megan Stewart Slee, PT
• Sleep Consultants Diagnostic Lab
• Jessica D Sligh, COTA
• SLT Allscreens Mobile Testing LLC

• Health Service Clinic/Center in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
• 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.