Interventional Diabetes Center LLC 2

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

INTERVENTIONAL DIABETES CENTER LLC 2

Practice address

211 E 2ND St FL 1
Clarksdale, MS 38614-4302

Phone

(901) 791-1711

NPI assigned

May 5, 2025

Last updated

Jun 2, 2025By 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

Maurice Hampton

Title

Owner

Phone

(919) 223-8208

Specialties & licenses 3

Addresses

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.

• Miranda D White, APRN

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1427568260
  NPD (past)

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1316736432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 2ND ST FL 1",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144302",
            "telephone_number": "901-791-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 2ND ST FL 1",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144302",
            "telephone_number": "901-791-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL DIABETES CENTER LLC 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-223-8208"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tulessia Howard
• Vernon T. Hughes Jr., D.O.
• James Flowers Humber IV, OD
• Hunter B Nelson MD PC
• Internal Medicine Clinic of Clarksdale
• Sherwanda L Jackson
• Christina Jacobs, LMSW
• Ghanapati Vinil Jambula, M.D
• James Wilkes Bradham Inc (Right at Home of North Ms)
• Ina Jemerson

• Podiatrist in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.