Capital City Endocrine Clinic LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

CAPITAL CITY ENDOCRINE CLINIC LLC

Practice address

4755 I 55 N
Jackson, MS 39206-5602

Phone

(601) 895-0000

Fax

(601) 895-0001

NPI assigned

Jan 29, 2022

Last updated

Jun 8, 2023By 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

Juliette Sandifer Kum-Nji, MDNPI 1528385291

Title

Owner

Phone

(601) 895-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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.

• Juliette Laginger Sandifer Kum-Nji, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Jackson, MS
  • NPI 1528385291
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1255084398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 I 55 N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-895-0000",
            "fax_number": "601-895-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 I 55 N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065602",
            "telephone_number": "601-895-0000",
            "fax_number": "601-895-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY ENDOCRINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "SANDIFER KUM-NJI",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-895-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericia Latrice Cannon, NURSE PRACTITONER
• Lauren Elizabeth Cantrell
• Meagan Cantrelle
• Christopher Thai Cao, PHARMD
• Capital City Children and Adolescent Clinic
• Capital Dental Inc
• Capitol Medical Supply, Inc
• Capitol Medical Supply, Inc
• Capitol Physical Therapy, PA
• Lauren Allen Caraway, NP-C

• Endocrinology, Diabetes & Metabolism Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Endocrinology, Diabetes & Metabolism Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.