FNU SAMRA MARIYAM
NPI 1194517714
Pathology - Anatomic Pathology & Clinical Pathology in Jackson, MS

NPI Status: Active since May 20, 2025

Contact Information

2500 NORTH STATE STREET
DEPARTMENT OF PATHOLOGY
JACKSON, MS
ZIP 39216
Phone: (601) 984-1879

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  • Individual
  • Female
  • Pathology
  • Anatomic Pathology & Clinical Pathology

About FNU SAMRA MARIYAM

This page provides the complete NPI Profile along with additional information for Fnu Samra Mariyam, a provider established in Jackson, Mississippi with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1194517714 assigned on May 2025. The practitioner's primary taxonomy code is 207ZP0102X with license number T-5961 (MS). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1194517714
Provider Name
FNU SAMRA MARIYAM
Gender
Female
Entity Type
Individual
Location Address
2500 NORTH STATE STREET DEPARTMENT OF PATHOLOGY JACKSON, MS 39216
Location Phone
(601) 984-1879
Mailing Address
2500 NORTH STATE STREET DEPARTMENT OF PATHOLOGY JACKSON, MS 39216
Mailing Phone
(601) 984-1879
Is Sole Proprietor?
No
Enumeration Date
05-20-2025
Last Update Date
12-04-2025
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
T-5961
License State
MS
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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NPI 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 1194517714, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 5 → 10 → 1 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 0 + 1 + 1 + 4 + 7 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1194517714.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF NEPHROLOGY
JACKSON, MS 39216
Nurse Practitioner (Family)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF GEN INTERNAL MED
JACKSON, MS 39216
Internal Medicine
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIV GENERAL INTERNAL MEDICINE
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
Internal Medicine (Infectious Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF INFECTIOUS DISEASE
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF PULMONARY
JACKSON, MS 39216
Internal Medicine
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION
JACKSON, MS 39216
Internal Medicine
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MED
JACKSON, MS 39216
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216
Internal Medicine (Cardiovascular Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY
JACKSON, MS 39216
Psychologist
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216
Internal Medicine
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION
JACKSON, MS 39216
Psychiatry & Neurology (Neurology)
2500 NORTH STATE STREET
JACKSON, MS 39216
Psychiatry & Neurology (Neurology)
2500 NORTH STATE STREET
JACKSON, MS 39216
Orthopaedic Surgery
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216
Pharmacist
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION
JACKSON, MS 39216
Speech-Language Pathologist
2500 NORTH STATE STREET, DEPARTMENT OF OTOLARYNGOLOGY & COMMUNICATIVE SCIENCES
JACKSON, MS 39216
Orthopaedic Surgery
2500 NORTH STATE STREET, ORTHOPAEDIC SURGERY
JACKSON, MS 39216
Pediatrics (Pediatric Hematology-Oncology)
2500 NORTH STATE STREET
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194517714, enumerated as an "individual" on May 20, 2025.

The provider is located at 2500 NORTH STATE STREET DEPARTMENT OF PATHOLOGY JACKSON, MS 39216 and the phone number is (601) 984-1879.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.