MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. (NPI# 1003098096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003098096 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. |
| Other Organization Name | BAPTIST NEUROLOGICAL ASSOCIATES |
| Practice Address |
1200 N State St Suite 420 Jackson MS 39202-2001 |
| Mailing Address |
Po Box 2153 Dept 1947 Birmingham AL 35287-0001 |
| Practice Telephone | 6013553353 |
| Practice Fax Number | 6013553365 |
| Mailing Telephone | 6013553353 |
| Mailing Fax Number | 6013553365 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2013-06-28 |
| Authorized Official Name | ELIZABETH H. MULLINS (DIRECTOR OF CLINIC ADMINISTRATION) |
| Authorized Official Telephone | 6012924261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE GROUP NUMBER | C02783 | 01 |
| MS | 01627892 | 05 | |
| RR MEDICARE | DA0407 | 01 |
| Other Name | Type Code |
|---|---|
| Baptist Neurological Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992774814 | Medical Foundation of Central Mississippi, Inc. | Family Medicine | 1200 N State St Ste 270, Jackson, MS 39202-2027 | 2006-03-14 |
| Street Address |
1200 N STATE ST SUITE 420 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295573 | Kenneth P Toler Jr. | Ophthalmology | 1200 N State St, Ste 330, Jackson, MS 39202-2027 | 2005-06-17 |
| 1467012203 | Meredith Celeste Boston | Nurse Practitioner | 1200 N State St, Jackson, MS 39202-2000 | 2019-06-14 |
| 1477089233 | Brian Scott Mcmanus | Student in an Organized Health Care Education/Training Program | 1200 N State St, Ummc - Department of Otolaryngology, Jackson, MS 39202-2000 | 2017-05-11 |
| 1902346364 | Medical Foundation of Central Ms Inc | Physical Therapist | 1200 N State St, Suite 210, Jackson, MS 39202-2000 | 2017-03-06 |
| 1295283687 | Medical Foundation of Central Ms Inc | Family Medicine | 1200 N State St, Suite Ll-10, Jackson, MS 39202-2000 | 2016-09-14 |
| 1326412289 | Charles M Remus | Physical Therapy Assistant | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2015-11-16 |
| 1760858286 | Medical Foundation of Central Ms Inc. | Family Medicine | 1200 N State St, 5th Floor, Jackson, MS 39202-2000 | 2015-08-19 |
| 1003103516 | Rebecca Chick Pace | Internal Medicine | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2011-07-05 |
| 1356638845 | Christina C. Glover | Internal Medicine | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2011-07-05 |
| 1447578752 | Mark Gill Kosko | Ophthalmology | 1200 N State St, Ste 330, Jackson, MS 39202-2027 | 2010-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003171091 | Nawal Shaikh | Neuromusculoskeletal Medicine & OMM | 2500 North State Street, Jmm Room 2525, Jackson, MS 39216-4500 | 2012-07-06 |
| 1053494831 | David Glen Mchenry | Neuromusculoskeletal Medicine & OMM | 971 Lakeland Drive, Suite 557, Jackson, MS 39216 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278582 | Hattiesburg Musculoskeletal Medicine, Pllc | Neuromusculoskeletal Medicine & OMM | 23 Windstone, Hattiesburg, MS 39402-1254 | 2019-04-11 |
| 1588047443 | Whitney Danjack Lynch | Neuromusculoskeletal Medicine & OMM | 1 Lincoln Pkwy Ste 101, Hattiesburg, MS 39402-3261 | 2015-07-09 |
| 1174730519 | Tana Kathryn Cooper | Neuromusculoskeletal Medicine & OMM | 3680 Sangani Blvd Ste H2, Diberville, MS 39540-8709 | 2007-05-16 |
| 1851486427 | Oxford Neuromuscular Associates, Pllc | Neuromusculoskeletal Medicine & OMM | 2908 South Lamar Blvd., Suite 100, Oxford, MS 38655 | 2006-10-03 |
| 1912933409 | Mohamed Z Knefati | Neuromusculoskeletal Medicine & OMM | 1777 Curtis Dr, Iuka, MS 38852-1001 | 2006-06-25 |
| 1669705372 | Richard Gray Sloan Jr. | Neuromusculoskeletal Medicine & OMM | 498 Tuscan Ave, Hattiesburg, MS 39401-5461 | 2009-09-13 |
| 1699921197 | The Pediatric Neurology Clinic of Hattiesburg | Neuromusculoskeletal Medicine & OMM | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2008-08-15 |
| 1720203367 | Wayne General Hospital | Neuromusculoskeletal Medicine & OMM | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1932256492 | Stephen Wayne Mcauliffe | Neuromusculoskeletal Medicine & OMM | 2561 Pass Rd, Suite D, Biloxi, MS 39531-2125 | 2007-01-05 |
| 1013026970 | John C Adams | Neuromusculoskeletal Medicine & OMM | 353 Highway 15 N, Pontotoc, MS 38863-1103 | 2006-08-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.