Internal Medicine & Pediatric Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16465 Issued in MS

Legal business name

INTERNAL MEDICINE & PEDIATRIC ASSOCIATES

Practice address

6919 Old Canton Rd
Ridgeland, MS 39157-1268

Phone

(601) 956-0911

NPI assigned

Sep 22, 2006

Last updated

Jan 13, 2015By 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

Manisha Sethi, M.D.NPI 1316046410

Title

Manager

Phone

(601) 956-0911

Specialties & licenses 2

Addresses

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 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.

• Manisha Sethi, M.D.

  • Pediatrics Physician
  • Ridgeland, MS
  • NPI 1316046410

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Jason Hicks, M.D.

  • Internal Medicine Physician
  • Ridgeland, MS
  • NPI 1023034097
  Medicare reassignment Care Compare group NPD
• Suzanne Webster, CFNP

  • Family Nurse Practitioner
  • Ridgeland, MS
  • NPI 1174068415
  Medicare reassignment Care Compare group NPD
• Andrea Jernigan, DPT

  • Physical Therapist
  • Lake City, FL
  • NPI 1831572411
  NPD
• Rachael Vallone, DPT, PT

  • Physical Therapist
  • St Simons Island, GA
  • NPI 1013647049
  NPD
• Mary Kamryn Brewer, FNP-C

  • Family Nurse Practitioner
  • Madison, MS
  • NPI 1255943932
  NPD (past)
• Courtney Rey Convertino, MD

  • Pediatrics Physician
  • Ridgeland, MS
  • NPI 1679775944
  NPD (past)
• Denesia Giffin, NP

  • Nurse Practitioner
  • Vicksburg, MS
  • NPI 1568490241
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1558460642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571268",
            "telephone_number": "601-956-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571268",
            "telephone_number": "601-956-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "SETHI",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-956-0911",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16465",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "16465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspired Happiness Therapy and Wellness LLC
• Integrated Care Professionals of Mississippi, LLC
• Integrated Medical and Wellness Clinic of Mississippi LLC
• Integrative Skin Care of Mississippi, PLLC
• Intentional Minded Counseling & Consulting LLC
• Intrathecal Care Solutions
• Invictus RX LLC (Invictus Rx)
• Alexis N Irby, FNP
• Irving Eye Care LLC
• Quatrisa Irving, O.D.

• Internal Medicine Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.