MEDICAL FOUNDATION OF CENTRAL MS INC. (NPI# 1528428216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528428216 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION OF CENTRAL MS INC. |
| Other Organization Name | BAPTIST HEART LEAKE |
| Practice Address |
1100 Highway 16 E Carthage MS 39051-4222 |
| Practice Telephone | 6012671470 |
| Practice Fax Number | 6012671469 |
| Mailing Telephone | 6012671470 |
| Mailing Fax Number | 6012671469 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | ELIZABETH MULLINS (PRESIDENT BMC CLINICS) |
| Authorized Official Telephone | 6012924261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Baptist Heart Leake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760905509 | Medical Foundation of Central Ms Inc. | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2017-07-24 |
| 1912459223 | Medical Foundation of Central Ms Inc. | Internal Medicine | 903 E Sunflower Rd, Suite 500, Cleveland, MS 38732-2835 | 2016-11-03 |
| 1760858286 | Medical Foundation of Central Ms Inc. | Family Medicine | 1200 N State St, 5th Floor, Jackson, MS 39202-2000 | 2015-08-19 |
| 1417334178 | Medical Foundation of Central Ms Inc. | Obstetrics & Gynecology | 1600 N State St, Suite 400, Jackson, MS 39202-1689 | 2015-05-01 |
| Street Address |
1100 HIGHWAY 16 E |
| City | CARTHAGE |
| State | MS |
| Zip Code | 39051-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104860907 | Ronnie Keith Brown | Nurse Practitioner | 1100 Highway 16 E, Carthage, MS 39051 | 2006-06-15 |
| 1669028130 | Leake Emergency Group, LLC | Hospitalist | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2019-08-12 |
| 1942778311 | Bobbie Evans Mooney | Nurse Practitioner | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2018-11-05 |
| 1386164630 | Laura Moore | Nurse Practitioner | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2017-06-27 |
| 1700292166 | Anya Jones | Nurse Practitioner | 1100 Highway 16 E, Carthage, MS 39051 | 2014-07-07 |
| 1467711408 | Jessica Sharleen Lavender | Internal Medicine | 1100 Highway 16 E, Carthage, MS 39051 | 2012-05-11 |
| 1609105196 | Joseph Byron Tullos | Nurse Practitioner | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2009-12-14 |
| 1619900321 | Andrea A Moman | Internal Medicine | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2006-07-08 |
| 1861421406 | Jonathan J Bruno | Obstetrics & Gynecology | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2006-07-03 |
| 1407884356 | Angela Marie Atkinson | Nurse Practitioner | 1100 Highway 16 E, Carthage, MS 39051 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275828 | Roots Healthcare and Homes, LLC | Meals | 292 Pickens Circle, Carthage, MS 39051 | 2017-09-30 |
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
| 1316297575 | Silver Lining Adult Daycare, LLC | Respite Care | 531 Highway 35 North, Carthage, MS 39051 | 2012-09-14 |
| 1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
| 1376725754 | Amye L Shamburger | Dentist | 101 S. Pearl Street, Carthage, MS 39051 | 2007-11-28 |
| 1770786188 | Carthage Eye Clinic Pa | Optometrist | 201 Hwy 16 East, Carthage, MS 39051 | 2007-06-06 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1780722280 | Linda N Roland | Nurse Practitioner | 204 Chipley St., Carthage, MS 39051 | 2007-02-05 |
| 1205914298 | William M Myers II | Dentist | 12646 Hwy 488, Carthage, MS 39051 | 2006-11-01 |
| Find all providers in zip 39051 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699705756 | Iraj Roshan | Internal Medicine | 1519 W Panola St, Carthage, TX 75633 | 2006-07-04 |
| 1558628222 | Mercy Hospital Carthage | Internal Medicine | 1515 Hazel St, Carthage, MO 64836-2850 | 2012-04-18 |
| 1699718569 | Warford B Johnson II | Internal Medicine | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-06-14 |
| 1235184508 | Mirza M Ashraf, M.d., P.C. | Internal Medicine | 1001 West St, Carthage, NY 13619-9703 | 2006-05-24 |
| 1205885514 | Mirza Maqbool Ashraf | Internal Medicine | 1001 West St, Carthage, NY 13619-9703 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434356 | Prime Heart and Vascular Care | Internal Medicine | 1310 Highway 72 E, Corinth, MS 38834-6524 | 2020-07-14 |
| 1912399437 | Cardiovascular Solutions of Mississippi, LLC | Internal Medicine | 657 W Monroe St, Grenada, MS 38901-5115 | 2015-02-19 |
| 1124436977 | Crescentworld Enterprises, Pllc | Internal Medicine | 670 Highway 51 Ste B, Ridgeland, MS 39157-2138 | 2014-07-24 |
| 1982011326 | Gulf Coast Heart Institute | Internal Medicine | 2915 Shortcut Rd, Pascagoula, MS 39567-1809 | 2014-07-17 |
| 1891100129 | William Hill | Internal Medicine | 7 Holly Ct, Gulfport, MS 39503-6211 | 2014-06-25 |
| 1609296037 | Hugo C. Nievas, Md, Pa | Internal Medicine | 1017 44th Ave, Gulfport, MS 39501-2547 | 2014-04-24 |
| 1821415357 | Michael Payment Md Cardiology Pa | Internal Medicine | 4533 13th St, Gulfport, MS 39501-2516 | 2014-03-21 |
| 1447510581 | Baptist Jackson Heart Cardiology Clinic-crystal Springs | Internal Medicine | 123 Bobo Drive, Crystal Springs, MS 39059 | 2012-05-23 |
| 1265730865 | Richard Glenn Hutchinson | Internal Medicine | 337 Long Cove Dr, Madison, MS 39110-9113 | 2011-03-05 |
| 1306165717 | Natchez Medical Foundation Inc. | Internal Medicine | 46 Sgt. S. Prentiss Drive, Suite 201, Natchez, MS 39120 | 2010-05-25 |
| Find all providers with the same taxonomy | ||||
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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.