CENTRAL MEDICAL CLINIC, P.A.
NPI 1396806857
Internal Medicine in Jackson, MS
NPI Status: Active since December 12, 2006
Contact Information
1190 N STATE ST
SUITE 201
JACKSON, MS
ZIP 39202
Phone: (601) 352-7011
Fax: (601) 352-3173
- Organization
- Internal Medicine
About CENTRAL MEDICAL CLINIC, P.A.
This page provides the complete NPI Profile along with additional information for Central Medical Clinic, P.a., an internist established in Jackson, Mississippi operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1396806857 assigned on December 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Gordon B Delashmet M.d. (President)
- NPI
- 1396806857
- Provider Name
- CENTRAL MEDICAL CLINIC, P.A.
- Entity Type
- Organization
- Location Address
- 1190 N STATE ST SUITE 201 JACKSON, MS 39202
- Location Phone
- (601) 352-7011
- Location Fax
- (601) 352-3173
- Mailing Address
- 1190 N STATE ST SUITE 201 JACKSON, MS 39202
- Mailing Phone
- (601) 352-7011
- Mailing Fax
- (601) 352-3173
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2006
- Last Update Date
- 12-14-2007
- Code Navigator
An internist like Central Medical Clinic, P.a. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MS
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
---|---|---|---|
04200767 | MEDICAID (05) | MS | |
C00766 | MEDICARE ID-TYPE UNSPECIFIED (04) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 9 | 6 | 8 | 0 | 6 | 8 | 5 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 18 | 6 | 16 | 0 | 12 | 8 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 8 + 6 + 1 + 6 + 0 + 1 + 2 + 8 + 1 + 0 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1396806857 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. WILSON E MOAK MD
Ophthalmology
1190 N STATE ST
STE 403
JACKSON, MS
ZIP 39202
DR. ROBERT O MAY SR. M.D.
Ophthalmology
1190 N STATE ST
STE 403
JACKSON, MS
ZIP 39202
JACKSON EYE ASSOCIATES PLLC
Durable Medical Equipment & Medical Supplies
1190 N STATE ST
SUITE 101
JACKSON, MS
ZIP 39202
ROBERT TIM MORRIS MD
Family Medicine
1190 N STATE ST
LOWER LEVEL
JACKSON, MS
ZIP 39202
MARTHA D DICKENS MD
Family Medicine
1190 N STATE ST
SUITE 201
JACKSON, MS
ZIP 39202
MRS. ERIN M MARTIN LPTA
Physical Therapy Assistant
1190 N STATE ST
JACKSON, MS
ZIP 39202
MRS. GRAY PACE PT
Physical Therapist
1190 N STATE ST
JACKSON, MS
ZIP 39202
BAPTIST NUTRITION CLINIC
Nutritionist
(Nutrition, Education)
1190 N STATE ST
SUITE 204
JACKSON, MS
ZIP 39202
COREY WHITE PTA
Physical Therapy Assistant
1190 N STATE ST
PT DEPARTMENT
JACKSON, MS
ZIP 39202
NEWBORN ASSOCIATES PA
Pediatrics
(Pediatric Cardiology)
1190 N STATE ST
SUITE 200
JACKSON, MS
ZIP 39202
DR. HAL GREGORY FISER MD
Surgery
1190 N STATE ST
SUITE 502
JACKSON, MS
ZIP 39202
DR. LEE M NICOLS MD
Surgery
1190 N STATE ST
SUITE 502
JACKSON, MS
ZIP 39202
JACKSON ANESTHESIA PAIN CENTER, LLC
Pain Medicine
(Pain Medicine)
1190 N STATE ST
SUITE 300
JACKSON, MS
ZIP 39202
R DEAVER COLLINS MD PA
Internal Medicine
(Rheumatology)
1190 N STATE ST
SUITE 302
JACKSON, MS
ZIP 39202
FARRAH D NEWMAN M. D.
Ophthalmology
1190 N STATE ST
SUITE 403
JACKSON, MS
ZIP 39202
MRS. COURTNEY WRIGHT PA-C
Physician Assistant
1190 N STATE ST
SUITE 502
JACKSON, MS
ZIP 39202
MAE PHYSICIANS SURGERY CENTER, LLC
Clinic/Center
(Ambulatory Surgical)
1190 N STATE ST
STE 102
JACKSON, MS
ZIP 39202
JACKSON SURGICAL GROUP PA
Surgery
1190 N STATE ST
SUITE L01
JACKSON, MS
ZIP 39202
LAURA NAIL NP
Nurse Practitioner
(Family)
1190 N STATE ST
SUITE 202
JACKSON, MS
ZIP 39202
MR. JOEL CHRISTOPHER BOOTHE RN, BSN
Registered Nurse
1190 N STATE ST
SUITE 301
JACKSON, MS
ZIP 39202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396806857, enumerated as an "organization" on December 12, 2006.
The provider is located at 1190 N STATE ST SUITE 201 JACKSON, MS 39202 and the phone number is (601) 352-7011.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.