NPIMap

Organization Active NPI

Medical Foundation of Central Ms Inc

Doing business as Baptist PT-Belhaven

  • Physical Therapist
  • Jackson, MS
National Provider Identifier
1902346364
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MEDICAL FOUNDATION OF CENTRAL MS INC
Doing business as
Baptist PT-Belhaven
Practice address
1200 N State St
Suite 210
Jackson, MS 39202-2000
Phone
(601) 714-3202
Fax
(601) 714-3416
NPI assigned
Mar 6, 2017
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Amy Grissett
Title
Billing Manager
Phone
(601) 944-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MS Primary

Addresses

Primary practice location

1200 N State St
Suite 210
Jackson, MS 39202-2000

Mailing address

1200 N State St
Suite 210
Jackson, MS 39202-2000
Phone (601) 714-3202

Other names 1

  • BAPTIST PT-BELHAVEN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Jackson Heart Cardiology Clinic-Yazoo City43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288

1200 N State St
Ste 210
Jackson, MS 39202
Phone (601) 714-3202

1200 N State St
Ste 270
Jackson, MS 39202
Phone (601) 714-6470

1200 N State St
Ste 420
Jackson, MS 39202
Phone (601) 355-3353

2173 Main St
Madison, MS 39110
Phone (601) 605-3858

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1902346364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "SUITE 210",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022000",
            "telephone_number": "601-714-3202",
            "fax_number": "601-714-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "SUITE 210",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022000",
            "telephone_number": "601-714-3202",
            "fax_number": "601-714-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FOUNDATION OF CENTRAL MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "GRISSETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "601-944-1717"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAPTIST PT-BELHAVEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.