Individual provider Active NPI

Juliette Laginger Sandifer Kum-Nji, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Jackson, MS
National Provider Identifier
1528385291
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
24924 Issued in MS
Practice address
4755 I 55 N
Jackson, MS 39206-5602
Phone
(601) 895-0000
Fax
(601) 895-0001
NPI assigned
Apr 21, 2010
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 320680 LA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 24924 MS Primary

Addresses

Primary practice location

4755 I 55 N
Jackson, MS 39206-5602

Mailing address

3807 W Northside Dr
Jackson, MS 39209-2560
Phone (601) 292-9524

Other names 1

  • Juliette Laginger Sandifer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221230000090 MS Practitioner - Endocrinology 3678841319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Mississippi Hospitalist Medicine LLCGroup PAC ID 0547791873, 74 clinicians

Practice addresses (Care Compare)

4755 I 55
Capital City Endocrine Clinic
Jackson, MS 39206-5602
Phone (601) 895-0000

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Endocrine Clinic LLC Endocrinology, Diabetes & Metabolism CurrentSince Nov 18, 2022 Accepting new patients
RH Mississippi Hospitalist Medicine, LLC CurrentSince Aug 14, 2024 Accepting new patients
St Dominic-Jackson Memorial Hospital Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

3807 W Northside Dr
Jackson, MS 39209

4755 I 55 N
Jackson, MS 39206
Phone (601) 895-0000

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBGADD/Endpoint/HBGADD
  • Direct secure messaging: jsandiferkumnj5327984@direct.casso.us.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1528385291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 W NORTHSIDE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392092560",
            "telephone_number": "601-292-9524",
            "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": {
        "last_name": "SANDIFER KUM-NJI",
        "first_name": "JULIETTE",
        "middle_name": "LAGINGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "320680",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "24924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIETTE",
            "last_name": "SANDIFER",
            "middle_name": "LAGINGER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.