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FOUNDATION INTERNAL MEDICINE, P.C.
NPI 1255531885
Clinic/Center - Primary Care in Southaven, MS

Active since July 22, 2007
401 SOUTHCREST CIR, SUITE 207, SOUTHAVEN, MS 38671(662) 349-9292(662) 349-8603 Get Directions Write a Review

NPPES record last updated: July 22, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Foundation Internal Medicine, P.c. NPPES

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

FOUNDATION INTERNAL MEDICINE, P.C. (NPI 1255531885) is a healthcare organization registered as a primary care in Southaven, Mississippi and active in the NPI registry since July 2007. The organization lists Kenneth Osita Edmunds, Medical Director/president, as its authorized official.

NPPES Registry Identity

NPI1255531885
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFOUNDATION INTERNAL MEDICINE, P.C.
Location Address401 SOUTHCREST CIR, SUITE 207Southaven, MS 38671-6726
Mailing Address401 Southcrest Cir, Suite 207Southaven, MS 38671-6726 · (662) 349-9292 · Fax (662) 349-8603
Phone(662) 349-9292
Fax(662) 349-8603
Organization SubpartNo
Authorized OfficialKenneth Osita EdmundsMedical Director/president · (662) 349-9292
Enumeration DateJuly 22, 2007
✔ NPI 1255531885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · 14060
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 14060 (MS)
401 SOUTHCREST CIR, Southaven, MS 38671
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Other Identifiers 2

Medicaid09015617MS
Medicare UPINF88930MS

Other Providers at the Same Location NPPES 15

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

MIDSOUTH HOSPITALISTS, PC
Specialist
401 SOUTHCREST CIR, SUITE 104
SOUTHAVEN, MS 38671
Desoto County (662) 536-3201
UROLOGY GROUP PC
Urology
401 SOUTHCREST CIR, SUITE 201
SOUTHAVEN, MS 38671
Desoto County (662) 349-4329
GENERAL SURGERY OF SOUTHAVEN LLC
Surgery
401 SOUTHCREST CIR, SUITE 210
SOUTHAVEN, MS 38671
Desoto County (662) 536-1944
JODIE ORR DPT
Physical Therapist (Orthopedic)
401 SOUTHCREST CIR
SOUTHAVEN, MS 38671
Desoto County (662) 349-1546
JENNA SCRUGGS NP
Nurse Practitioner (Family)
401 SOUTHCREST CIR
SOUTHAVEN, MS 38671
Desoto County (662) 349-0488
DANIEL B FORE M.D.
Surgery
401 SOUTHCREST CIR, SUITE 210
SOUTHAVEN, MS 38671
Desoto County (662) 536-1944
SHANNON ROSE WOODS N.P.
Nurse Practitioner (Gerontology)
401 SOUTHCREST CIR, SUITE 212
SOUTHAVEN, MS 38671
Desoto County (662) 349-0488
GREGORY KEITH LAMBERT CRNA
Nurse Anesthetist, Certified Registered
401 SOUTHCREST CIR, SUITE 200
SOUTHAVEN, MS 38671
Desoto County (662) 349-2588

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 Foundation Internal Medicine, P.C.'s NPI number?

The NPI number for Foundation Internal Medicine, P.C. is 1255531885. It was assigned to this organization in the NPPES registry on July 22, 2007.

Where is Foundation Internal Medicine, P.C. located?

Foundation Internal Medicine, P.C. is located at 401 Southcrest Cir Suite 207, Southaven, MS 38671. The listed phone number is (662) 349-9292.

What is Foundation Internal Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Foundation Internal Medicine, P.C. was last updated on July 22, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.