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LANDMARK INTERNAL MEDICINE
NPI 1215058094
Specialist in Southaven, MS

Active since April 02, 2007CLIA 25D0970111 · Waiver
7615 CLARINGTON CV, SOUTHAVEN, MS 38671(332) 536-2500(662) 536-2505 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Landmark Internal Medicine NPPES

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

LANDMARK INTERNAL MEDICINE (NPI 1215058094) is a healthcare organization registered as a specialist in Southaven, Mississippi and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Mukesh Jain, President, as its authorized official.

NPPES Registry Identity

NPI1215058094
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLANDMARK INTERNAL MEDICINE
Location Address7615 CLARINGTON CVSouthaven, MS 38671-5647
Mailing Address7615 Clarington CvSouthaven, MS 38671-5647 · (332) 536-2500 · Fax (662) 536-2505
Phone(332) 536-2500
Fax(662) 536-2505
Organization SubpartNo
Authorized OfficialMukesh JainPresident · (662) 536-2500
Enumeration DateApril 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215058094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7615 CLARINGTON CV, Southaven, MS 38671
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Other Identifiers 2

Medicaid06326035MS
Medicaid3718595TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 25D0970111

Landmark Internal Medicine · Southaven, MS
Active · expires Jun 30, 2028
CLIA Number25D0970111
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorDr. Mukesh N. Jain
Laboratory Phone(662) 536-2500
Laboratory LocationLandmark Internal Medicine7615 Clarington Cove, Southaven, MS 38671
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. LELA BRIANNE KATTAWAR FNP
Nurse Practitioner (Family)
7615 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (662) 536-2500
MR. MUKESH JAIN MD
Internal Medicine
7615 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (662) 536-2500
MRS. CHARITY BARRINGER MILAM C.N.P
Nurse Practitioner (Primary Care)
7615 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (662) 536-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Landmark Internal Medicine's NPI number?

The NPI number for Landmark Internal Medicine is 1215058094. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Landmark Internal Medicine located?

Landmark Internal Medicine is located at 7615 Clarington Cv, Southaven, MS 38671. The listed phone number is (332) 536-2500.

What is Landmark Internal Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Landmark Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0970111) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Landmark Internal Medicine accept?

Health plans from Molina Healthcare list Landmark Internal Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Landmark Internal Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.