BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC.
NPI 1043466352
Internal Medicine - Cardiovascular Disease in Columbus, MS

Q: What is Baptist Memorial Hospital - Golden Triangle Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since August 18, 2008CLIA Certified · 2 labs

2520 5TH ST N, COLUMBUS, MS 39705(662) 244-1500(662) 244-1651 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Baptist Memorial Hospital - Golden Triangle Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC. (NPI 1043466352) is a healthcare organization registered as a cardiovascular disease in Columbus, Mississippi and active in the NPI registry since August 2008. The organization holds 2 active CLIA laboratory certificates and lists Gregory M Duckett, Sr Vp/ Clo, as its authorized official.

NPPES Registry Identity

NPI1043466352

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameBAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC.

Location Address2520 5TH ST NColumbus, MS 39705-2008

Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177

Phone(662) 244-1500

Fax(662) 244-1651

Organization SubpartYesParent: Baptist Memorial Health Care Corp.

Authorized OfficialGregory M DuckettSr Vp/ Clo · (901) 227-5233

Enumeration DateAugust 18, 2008

Last NPPES UpdateSeptember 30, 2020

NPPES CertifiedSeptember 30, 2020

✔ NPI 1043466352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

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.

2520 5TH ST N, Columbus, MS 39705

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 25D0651989

Baptist Memorial Hospital - Golden Triangle · Columbus, MS

Active · expires Feb 27, 2027

CLIA Number25D0651989

Laboratory TypeHospital

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorDr. Mary T. Garner

Laboratory Phone(662) 243-1539

Laboratory LocationBaptist Memorial Hospital - Golden Triangle2520 5th Street North PO Box 1307, Columbus, MS 39705

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 25D2190505

Baptist Memorial Hospital Gt Skilled Nursing · Columbus, MS

Active · expires Aug 13, 2026

CLIA Number25D2190505

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 14, 2024

Certificate Expiration DateAugust 13, 2026

Laboratory DirectorDr. Doyle F. Sumrall

Laboratory Phone(662) 244-1108

Laboratory LocationBaptist Memorial Hospital Gt Skilled Nursing2520 5th St North, Columbus, MS 39705

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAHEEM UR REHMAN MD

Student in an Organized Health Care Education/Training Program