JACKSON THYROID & ENDOCRINE CLINIC PLLC
NPI 1134671787
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jackson, MS
NPI Status: Active since October 31, 2016
Contact Information
971 LAKELAND DR
SUITE 353
JACKSON, MS
ZIP 39216
Phone: (601) 949-6990
Fax: (601) 949-6105
- Organization
- Internal Medicine
- Endocrinology, Diabetes & Metabolism
- CLIA Number: 25D1064921
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-10-2026
About JACKSON THYROID & ENDOCRINE CLINIC PLLC
This page provides the complete NPI Profile along with additional information for Jackson Thyroid & Endocrine Clinic Pllc, an internist established in Jackson, Mississippi operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1134671787 assigned on October 2016. The practitioner's primary taxonomy code is 207RE0101X with license number 15819 (MS). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. John Woody Sistrunk M.d. (Owner)
- NPI
- 1134671787
- Provider Name
- JACKSON THYROID & ENDOCRINE CLINIC PLLC
- Entity Type
- Organization
- Location Address
- 971 LAKELAND DR SUITE 353 JACKSON, MS 39216
- Location Phone
- (601) 949-6990
- Location Fax
- (601) 949-6105
- Mailing Address
- 971 LAKELAND DR SUITE 353 JACKSON, MS 39216
- Mailing Phone
- (601) 949-6990
- Mailing Fax
- (601) 949-6105
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2016
- Last Update Date
- 12-13-2019
- Code Navigator
An internist like Jackson Thyroid & Endocrine Clinic Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Endocrinology, Diabetes & Metabolism
- Taxonomy Code
- 207RE0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 15819
- License State
- MS
- Taxonomy Description
- An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D1064921
- Facility Type
- Physician Office
- Certificate Effective Date
- August 11, 2024
- Certificate Expiration Date
- August 10, 2026
- Laboratory Director
- DR. JOHN W. SISTRUNK
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Jackson Thyroid & Endocrine Clinic Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134671787, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134671787, enumerated as an "organization" on October 31, 2016.
The provider is located at 971 LAKELAND DR SUITE 353 JACKSON, MS 39216 and the phone number is (601) 949-6990.
Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.
