Intervene Diabetic Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTERVENE DIABETIC CENTER LLC

Practice address

20735 Highway 12
Lexington, MS 39095-8266

Phone

(662) 834-3432

NPI assigned

May 19, 2026

Last updated

May 19, 2026By 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

Maurice Hampton

Title

Authorized Official/Owner

Phone

(901) 791-1711

Specialties & licenses 1

Addresses

Practitioners 4

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.

• Percy L Anderson Jr., D.P.M., C.W.S., CMET

  • Podiatrist
  • Jackson, MS
  • NPI 1982792198
  NPD
• Omar Rashad Davis, M.D.

  • Nephrology Physician
  • Memphis, TN
  • NPI 1588767826
  NPD
• Antonio Lavale Knowles, DPM

  • Podiatrist
  • Memphis, TN
  • NPI 1124188511
  NPD
• Miranda D White, APRN

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1427568260
  NPD

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1821927468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "FREMONT",
            "state": "NC",
            "postal_code": "278300061",
            "telephone_number": "931-771-2521",
            "fax_number": "984-202-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20735 HIGHWAY 12",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390958266",
            "telephone_number": "662-834-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENE DIABETIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "901-791-1711"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henrich Drug Store, Inc
• Holmes County Hospital and Clinics
• Hometown Family Care, LLC
• Charles D Howard, DMD
• Internal Medicine Clinic of Lexington, Inc
• Interventional Diabetes Center, LLC
• Isd Renal Inc (Renal Care of Lexington)
• Whitney Ivey
• Jackson Metro Dental LLC
• Jitney Pharmacies Incorporated

• Specialist in Lexington, MS
• Providers in Lexington, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.