CAPITAL CITY ENDOCRINE CLINIC LLC
NPI 1255084398
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jackson, MS

Q: What is Capital City Endocrine Clinic LLC's NPI number?

The NPI number for Capital City Endocrine Clinic LLC is 1255084398. It was assigned to this organization in the NPPES registry on January 29, 2022.

Q: What is Capital City Endocrine Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since January 29, 2022

4755 I 55 N, JACKSON, MS 39206(601) 895-0000(601) 895-0001 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 8, 2023, Nov 18, 2022, Jan 29, 2022 (3 updates tracked since 2022).

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About Capital City Endocrine Clinic Llc NPPES

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

CAPITAL CITY ENDOCRINE CLINIC LLC (NPI 1255084398) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Jackson, Mississippi and active in the NPI registry since January 2022. The organization lists Juliette Sandifer Kum-nji, Owner, as its authorized official.

NPPES Registry Identity

NPI1255084398

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameCAPITAL CITY ENDOCRINE CLINIC LLC

Location Address4755 I 55 NJackson, MS 39206-5602

Mailing Address4755 I 55 NJackson, MS 39206 · (601) 895-0000 · Fax (601) 895-0001

Phone(601) 895-0000

Fax(601) 895-0001

Organization SubpartNo

Authorized OfficialJuliette Sandifer Kum-njiOwner · (601) 895-0000

Enumeration DateJanuary 29, 2022

Last NPPES UpdateJune 8, 20233 updates tracked since enumeration

NPPES CertifiedJune 8, 2023

✔ NPI 1255084398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

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.

4755 I 55 N, Jackson, MS 39206

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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

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Capital City Endocrine Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Capital City Endocrine Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Juliette Sandifer Kum-Nji, M.D.

Endocrinology

NPI 1528385291

4755 I 55 N
Jackson, MS 39206

(601) 895-0000

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Capital City Endocrine Clinic LLC's NPI number?

The NPI number for Capital City Endocrine Clinic LLC is 1255084398. It was assigned to this organization in the NPPES registry on January 29, 2022.

Where is Capital City Endocrine Clinic LLC located?

Capital City Endocrine Clinic LLC is located at 4755 I 55 N, Jackson, MS 39206. The listed phone number is (601) 895-0000.

What is Capital City Endocrine Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Capital City Endocrine Clinic LLC enrolled in Medicare?

Yes. Capital City Endocrine Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capital City Endocrine Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Capital City Endocrine Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Capital City Endocrine Clinic LLC accept?

Health plans from Molina Healthcare list Capital City Endocrine Clinic LLC 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 Capital City Endocrine Clinic LLC was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.