UMC MEDICAL MALL
NPI 1194930693
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jackson, MS

NPI Status: Active since May 10, 2007

Contact Information

350 W WOODROW WILSON AVE
SUITE 479
JACKSON, MS
ZIP 39213
Phone: (601) 815-6350
Fax: (601) 815-6348

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance

About UMC MEDICAL MALL

This page provides the complete NPI Profile along with additional information for Umc Medical Mall, a provider established in Jackson, Mississippi operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1194930693 assigned on May 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Umc Medical Mall. The authorized official of this NPI record is William Kennedy (Associate Administrator)

NPI
1194930693
Provider Legal Name
STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Other Organization Name
UMC MEDICAL MALL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
350 W WOODROW WILSON AVE SUITE 479 JACKSON, MS 39213
Location Phone
(601) 815-6350
Location Fax
(601) 815-6348
Mailing Address
350 W WOODROW WILSON AVE SUITE 479 JACKSON, MS 39213
Mailing Phone
(601) 815-6350
Mailing Fax
(601) 815-6348
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2007
Last Update Date
10-02-2007
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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

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM KENNEDY

Authorized Official Title
ASSOCIATE ADMINISTRATOR
Authorized Official Phone
(601) 984-4699

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
20256MEDICAID (05)MS 
253503MEDICARE OSCAR/CERTIFICATION (06) 

Reviews for UMC MEDICAL MALL

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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 1194930693, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 9 → 18 → 9 0 → 0 9 → 18 → 9

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 + 8 + 3 + 0 + 6 + 1 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1194930693.

Other Providers at the Same Location


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

Nurse Practitioner
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Point of Service
350 W WOODROW WILSON AVE, SUITE 611
JACKSON, MS 39213
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Advanced Practice Midwife
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 611
JACKSON, MS 39213
Pharmacist (Pharmacotherapy)
350 W WOODROW WILSON AVE, SUITE 202
JACKSON, MS 39213
Nurse Practitioner (Women's Health)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Preventive Medicine (Public Health & General Preventive Medicine)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Pharmacist
350 W WOODROW WILSON AVE, CARDIOLOGY - HEART FAILURE DISEASE MANAGEMENT CLINIC
JACKSON, MS 39213
Dentist (General Practice)
350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL, SUITE 3516
JACKSON, MS 39213
Pharmacist
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Optometrist
350 W WOODROW WILSON AVE, SUITE 3110
JACKSON, MS 39213
Clinic/Center (Community Health)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Social Worker (Clinical)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 1600
JACKSON, MS 39213
Speech-Language Pathologist
350 W WOODROW WILSON AVE, COMMUNICATIVE SCIENCES
JACKSON, MS 39213
Family Medicine
350 W WOODROW WILSON AVE, BOX 20
JACKSON, MS 39213
Clinic/Center
350 W WOODROW WILSON AVE, SUITE 615
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 411
JACKSON, MS 39213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194930693, enumerated as an "organization" on May 10, 2007.

The provider is located at 350 W WOODROW WILSON AVE SUITE 479 JACKSON, MS 39213 and the phone number is (601) 815-6350.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.