Medical Foundation of Central Mississippi, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.

Doing business as

Baptist Medical Clinics

Practice address

1200 N State St Ste 270
Jackson, MS 39202-2027

Phone

(601) 974-6246

Fax

(601) 353-4414

NPI assigned

Mar 14, 2006

Last updated

Oct 6, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

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

Authorized official

Name

Gregory M Duckett

Title

Sr VP/Clo

Phone

(901) 227-5233

Specialties & licenses 15

Addresses

Other identifiers 1

Other names 1

• Baptist Medical Clinics Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Baptist Jackson Heart Cardiology Clinic-Crystal Springs

  • Cardiovascular Disease Physician
  • Crystal Springs, MS
  • NPI 1447510581

  O20040217000380

  Same enrollment
• Baptist Jackson Heart Cardiology Clinic-Kosciusko

  • Cardiovascular Disease Physician
  • Jackson, MS
  • NPI 1013280494

  O20040217000380

  Same enrollment
• Baptist Jackson Heart Cardiology Clinic-Magee

  • Cardiovascular Disease Physician
  • Jackson, MS
  • NPI 1902178346

  O20040217000380

  Same enrollment
• Baptist Jackson Heart Cardiology Clinic-Yazoo City

  • Cardiovascular Disease Physician
  • Jackson, MS
  • NPI 1831462217

  O20040217000380

  Same enrollment
• Baptist Medical Clinic - Convenient Care

  • Multi-Specialty Clinic/Center
  • Flowood, MS
  • NPI 1013207091

  O20040217000380

  Same enrollment
• Baptist Nutrition Clinic

  • Nutrition Education Nutritionist
  • Jackson, MS
  • NPI 1518238807

  O20040217000380

  Same enrollment
• Medical Foundation of Central Mississippi, Inc

  dba Baptist Cardiology Clinic

  • Cardiovascular Disease Physician
  • Madison, MS
  • NPI 1902096837

  O20040217000380

  Same enrollment
• Medical Foundation of Central Mississippi, Inc

  dba Baptist Cardiovascular Surgery

  • Vascular Surgery Physician
  • Jackson, MS
  • NPI 1952557092

  O20040217000380

  Same enrollment
• Medical Foundation of Central Mississippi, Inc.

  dba Baptist Neurological Associates

  • Neuromusculoskeletal Medicine & OMM Physician
  • Jackson, MS
  • NPI 1003098096

  O20040217000380

  Same enrollment
• Medical Foundation of Central Ms

  dba Baptist Medical Clinic-Brandon

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1114264264

  O20040217000380

  Same enrollment

Part of

Baptist Memorial Health Care Corp

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Baptist Memorial Health Care Corp.

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1649615964
  NPPES parent name

Practitioners 522

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.

• Abdu Mohamed Abdallah Ahmed, MD

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1851824171
  Medicare reassignment Care Compare group NPD
• Craig Vorpe Adams, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jackson, MS
  • NPI 1114969011
  Medicare reassignment Care Compare group NPD
• Sridevi Alla, M.D.

  • Family Medicine Physician
  • Kosciusko, MS
  • NPI 1700016763
  Medicare reassignment Care Compare group NPD
• Cantrell Ollie Anderson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1780356212
  Medicare reassignment Care Compare group NPD
• Robert K Anderson

  • Internal Medicine Physician
  • Flowood, MS
  • NPI 1134280407
  Medicare reassignment Care Compare group NPD
• Stephen David Anderson, M.D.

  • Cardiovascular Disease Physician
  • Jackson, MS
  • NPI 1508206913

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Claudia Weir Anthony, NP-C

  • Family Nurse Practitioner
  • Brandon, MS
  • NPI 1972530632
  Medicare reassignment Care Compare group NPD
• Jadeline Atieno Anyumba-Mitema, MD

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1457873812
  Medicare reassignment Care Compare group NPD
• Kimberly Diane Apostolidis, NP

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1023307840
  Medicare reassignment Care Compare group NPD
• Salvador Arceo III, M.D.

  • Emergency Medicine Physician
  • Brandon, MS
  • NPI 1831148972
  Medicare reassignment Care Compare group NPD
• Jeanette L. Arnold-Britt, FNP

  • Nurse Practitioner
  • Jackson, MS
  • NPI 1912927526
  Medicare reassignment Care Compare group NPD
• Namita K. Arora, M.D.

  • Psychiatry Physician
  • Vicksburg, MS
  • NPI 1922025360
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1992774814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "601-292-4261",
            "fax_number": "601-292-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 270",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "601-974-6246",
            "fax_number": "601-353-4414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 OLD CANTON RD STE 100",
            "address_purpose": "LOCATION",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211",
            "country_code": "US",
            "telephone_number": "601-957-1015",
            "fax_number": "601-956-9721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903209",
            "country_code": "US",
            "telephone_number": "601-289-1800",
            "fax_number": "662-289-2486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "746 E Fifteenth St",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942706",
            "country_code": "US",
            "telephone_number": "601-746-4032",
            "fax_number": "601-746-0967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6250 Old Canton Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392112946",
            "country_code": "US",
            "telephone_number": "601-956-7280",
            "fax_number": "601-977-6244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Baptist Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102012",
            "country_code": "US",
            "telephone_number": "601-607-7204",
            "fax_number": "601-607-7430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7275 S Siwell Rd",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392729767",
            "country_code": "US",
            "telephone_number": "601-373-7722",
            "fax_number": "601-373-7378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St # Ll10",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022000",
            "country_code": "US",
            "telephone_number": "601-362-7280",
            "fax_number": "601-362-8116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022413",
            "country_code": "US",
            "telephone_number": "601-973-1624",
            "fax_number": "601-973-1596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022027",
            "country_code": "US",
            "telephone_number": "601-352-2273",
            "fax_number": "601-714-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "627-518-2466",
            "fax_number": "662-746-7855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Baptist Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102011",
            "country_code": "US",
            "telephone_number": "601-973-1583",
            "fax_number": "601-973-1609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 W Government St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423024",
            "country_code": "US",
            "telephone_number": "601-825-1936",
            "fax_number": "601-825-1937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Bo Bo Dr",
            "address_purpose": "LOCATION",
            "city": "Crystal Springs",
            "state": "MS",
            "postal_code": "390592741",
            "country_code": "US",
            "telephone_number": "601-969-6404",
            "fax_number": "601-973-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 HWY 16",
            "address_purpose": "LOCATION",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "39051",
            "country_code": "US",
            "telephone_number": "601-267-1000",
            "fax_number": "601-973-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Clinton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564730",
            "country_code": "US",
            "telephone_number": "601-924-9005",
            "fax_number": "601-973-1622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 E Metro Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392324405",
            "country_code": "US",
            "telephone_number": "601-992-3288",
            "fax_number": "601-992-3188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Baptist Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102010",
            "country_code": "US",
            "telephone_number": "601-605-2383",
            "fax_number": "601-605-3898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2173 Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106309",
            "country_code": "US",
            "telephone_number": "601-605-3858",
            "fax_number": "601-605-3898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 HWY 16",
            "address_purpose": "LOCATION",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "39051",
            "country_code": "US",
            "telephone_number": "601-267-1000",
            "fax_number": "601-973-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1887 Spillway Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390476066",
            "country_code": "US",
            "telephone_number": "601-992-5532",
            "fax_number": "601-992-5547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Highway 49 S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MS",
            "postal_code": "392189438",
            "country_code": "US",
            "telephone_number": "601-973-1576",
            "fax_number": "601-664-0055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Lexington Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106952",
            "country_code": "US",
            "telephone_number": "601-973-1688",
            "fax_number": "601-973-1690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Pearl",
            "state": "MS",
            "postal_code": "392088712",
            "country_code": "US",
            "telephone_number": "601-825-9000",
            "fax_number": "601-825-2531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-988-5281",
            "fax_number": "601-974-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Marshall St Ste G07",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392021651",
            "country_code": "US",
            "telephone_number": "601-968-3238",
            "fax_number": "601-968-3237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St Ste 420",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022027",
            "country_code": "US",
            "telephone_number": "601-355-3353",
            "fax_number": "601-355-3365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S PEARSON RD",
            "address_purpose": "LOCATION",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "39208",
            "country_code": "US",
            "telephone_number": "601-968-1237",
            "fax_number": "601-968-1246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022000",
            "country_code": "US",
            "telephone_number": "601-714-3202",
            "fax_number": "601-714-3416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7273 S Siwell Rd",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392729767",
            "country_code": "US",
            "telephone_number": "601-372-8223",
            "fax_number": "601-372-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Clinton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564730",
            "country_code": "US",
            "telephone_number": "601-926-2018",
            "fax_number": "601-924-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 E Metro Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392324405",
            "country_code": "US",
            "telephone_number": "601-973-1507",
            "fax_number": "601-939-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392328947",
            "country_code": "US",
            "telephone_number": "601-939-7010",
            "fax_number": "601-939-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Lexington Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106952",
            "country_code": "US",
            "telephone_number": "601-973-1688",
            "fax_number": "601-973-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP/CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03807380",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Foundation of Central Mississippi, Inc
• Medical Foundation of Central Mississippi, Inc (Jackson Neurosurgery & Spine Assoc)
• Medical Foundation of Central Mississippi, Inc (Baptist Occupational Medical Clinic - MAE)
• Medical Foundation of Central Mississippi, Inc (Baptist Cardiovascular Surgery)
• Medical Foundation of Central Mississippi, Inc. (Baptist Neurological Associates)
• Medical Foundation of Central Ms (Baptist Pediatric-General Surgery)
• Medical Foundation of Central Ms Inc (Baptist Medical Clinic-Belhaven)
• Medical Foundation of Central Ms Inc (Baptist PT-Belhaven)
• Medical Foundation of Central Ms Inc. (Baptist Medical Clinic Gynecology/Oncology)
• Medical Foundation of Central Ms Inc. (Baptist Premier)

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.