Active NPI
Internal Medicine Specialists PLLC
- Internal Medicine Physician
- Flowood, MS
National Provider Identifier
1740909464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE SPECIALISTS PLLC
- Practice address
- 1040 River Oaks Dr Ste 201
Flowood, MS 39232-9534 - Phone
- (601) 992-1222
- Fax
- (601) 992-7222
- NPI assigned
- Aug 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Thompson
- Title
- Office Manager
- Phone
- (601) 992-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1040 River Oaks Dr Ste 201
Flowood, MS 39232-9534
Mailing address
1040 River Oaks Dr Ste 201
Flowood, MS 39232-9534
Phone (601) 992-1222
Other names 2
- Internal Medicine Specialists PLLC
- Internal Medicine Specialist PLLC
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Portal | Health Information Exchange (HIE) | |
| SOAP URL | TSI | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2276911 | Internal Medicine Specialists | Certificate of waiver | Feb 15, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Flowood, MS
- NPI 1992803779
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1184672750
-
- Internal Medicine Physician
- Flowood, MS
- NPI 1134280407
-
- Internal Medicine Physician
- Mendenhall, MS
- NPI 1043334568
-
- Primary Care Nurse Practitioner
- Brookhaven, MS
- NPI 1922653849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1740909464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 RIVER OAKS DR STE 201",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329534",
"telephone_number": "601-992-1222",
"fax_number": "601-992-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 RIVER OAKS DR STE 201",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329534",
"telephone_number": "601-992-1222",
"fax_number": "601-992-7222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-25",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "601-992-1222"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Portal",
"affiliation": "N",
"endpointDescription": "Portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "971 Lakeland Dr Ste 950",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392164608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "TSI",
"affiliation": "N",
"endpointDescription": "TSI",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "971 Lakeland Dr Ste 950",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392164608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Internal Medicine Specialists PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Internal Medicine Specialist PLLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Flowood, MS
- Orhan Ilercil, M.D.
- Independence Care of Mississippi at Jackson, LLC
- Infinite Hope Counseling, LLC
- Integrity Dental Clinic, PLLC
- Internal Medicine Primary Care PA
- J & R, Inc. Dba Rhonda Roush LPC
- Jackson Arthritis Clinic PA
- Jackson Dental Care, PLLC
- Kimyuana Jackson Dorris, PMHNP, AGNP-C
- Jackson Ear Clinic PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.