Todd N Adkins, M.D.
Individual provider Active NPI Allergy & Immunology Physician · Jackson, MS
NPI 1629056502 · NPPES record last updated Mar 31, 2014
Key facts
- NPI
- 1629056502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 12079 (MS)
- Practice address
- 1513 Lakeland Dr.
Suite 101
Jackson, MS 39216 - Phone
- (601) 354-4836
- Fax
- (601) 354-2619
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- University of Mississippi School of Medicine, 1989
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mississippi Asthma and Allergy Clinic PA
Practice addresses (Care Compare)
1513 Lakeland Dr
Suite 101
Jackson, MS 39216-4829
Phone (601) 354-4836
Hospital & facility affiliations
- Mississippi Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.53 of 100
- Quality
- 61.06
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100729000618 | MS | Practitioner - Allergy/Immunology |
4880727734 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12079 | MS | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Asthma & Allergy Clinic PA | Allergy & Immunology | Current |
Accepting new patients |
Locations
1513 Lakeland Dr
Ste 101
Jackson, MS 39216
Phone (601) 354-4836
3704 Highway 39 N
Meridian, MS 39301
Phone (601) 693-0216
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 12079 | MS | Yes |
Addresses
Primary practice location
1513 Lakeland Dr.
Suite 101
Jackson, MS 39216
Mailing address
1513 Lakeland Dr.
Suite 101
Jackson, MS 39216
Phone (601) 354-4836
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00113910 | Medicaid | MS |
Other providers in Jackson, MS
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- Arin Adkins
- Jonathan Ross Adkins
- Advance Care, LLC
- Advance Dental Clinic
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All providers in Jackson, MS · Allergy & Immunology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.