Organization Active NPI

Internal Medicine and Pediatric Clinic of New Albany, PLLC

Doing business as Internal Medicine and Pediatric Clinic

  • Internal Medicine Physician
  • New Albany, MS
National Provider Identifier
1811073356
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE AND PEDIATRIC CLINIC OF NEW ALBANY, PLLC
Doing business as
Internal Medicine and Pediatric Clinic
Internal Medicine and Pediatric Clinic of New Albany
Practice address
118 Fairfield Dr
New Albany, MS 38652-3107
Phone
(662) 534-0898
Fax
(662) 534-8905
NPI assigned
Oct 27, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Mrs. Rachel Marie Thomas, CPC
Title
Billing Manager/Credentialing
Phone
(662) 534-0898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Pediatrics Physician 208000000X

Addresses

Primary practice location

118 Fairfield Dr
New Albany, MS 38652-3107

Mailing address

118 Fairfield Dr
New Albany, MS 38652-3107
Phone (662) 534-0898

Other identifiers 1

IdentifierTypeStateIssuer
003756231MedicaidMS

Other names 4

  • Internal Medicine and Pediatric Clinic Doing business as
  • Internal Medicine and Pediatric Clinic of New Albany Doing business as
  • IM&PC Other name
  • IMPC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825001365 MS Part B Supplier - Clinic/Group Practice 2466426283 Receives reassigned benefits from 26 practitioners
Practice locations: New Albany, MS; Saltillo, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1019516Internal Medicine & Pediatric Clinic of New Albany118 Fairfield Dr, New Albany, MS 38652ComplianceJan 5, 2027

National Provider Directory

National Provider Directory

Locations

301 Oxford Rd
New Albany, MS 38652
Phone 6625340898202

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1811073356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FAIRFIELD DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523107",
            "telephone_number": "662-534-0898",
            "fax_number": "662-534-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FAIRFIELD DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523107",
            "telephone_number": "662-534-0898",
            "fax_number": "662-534-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND PEDIATRIC CLINIC OF NEW ALBANY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "662-534-0898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003756231",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine and Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Internal Medicine and Pediatric Clinic of New Albany",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Internal Medicine and Pediatric Clinic of New Albany",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IM&PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "IMPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.