INTERNAL MEDICINE & PEDIATRIC ASSOCIATES
NPI 1558460642
Internal Medicine in Ridgeland, MS

Active since September 22, 2006CLIA 25D1046617 · Certificate of Compliance
6919 OLD CANTON RD, RIDGELAND, MS 39157(601) 956-0911 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Internal Medicine & Pediatric Associates NPPES

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

INTERNAL MEDICINE & PEDIATRIC ASSOCIATES (NPI 1558460642) is a healthcare organization registered as an internal medicine in Ridgeland, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 25, 2028 and lists Manisha Sethi, Manager, as its authorized official.

NPPES Registry Identity

NPI1558460642
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE & PEDIATRIC ASSOCIATES
Location Address6919 OLD CANTON RDRidgeland, MS 39157-1268
Mailing Address6919 Old Canton RdRidgeland, MS 39157-1268 · (601) 956-0911
Organization SubpartNo
Authorized OfficialManisha SethiManager · (601) 956-0911
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1558460642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 16465
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License 16465 (MS)
6919 OLD CANTON RD, Ridgeland, MS 39157

Other Identifiers 2

Medicare UPINH46031MS
Medicare ID-Type Unspecified110001883MS · Medicare Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Internal Medicine & Pediatric Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Internal Medicine & Pediatric Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1174068415
6919 OLD CANTON RD
Ridgeland, MS 39157
(601) 956-0911
✔ PECOSSame address
Internal Medicine
NPI 1316046410
6919 OLD CANTON RD
Ridgeland, MS 39157
(601) 956-0911
✔ PECOS0.2 mi
Internal Medicine
NPI 1023034097
6919 OLD CANTON RD
Ridgeland, MS 39157
(601) 956-0911
✔ PECOS0.5 mi

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

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 Compliance 25D1046617

Internal Medicine & Pediatric Associates PLLC · Ridgeland, MS
Active · expires Apr 25, 2028
CLIA Number25D1046617
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorShonda F. Stamps
Laboratory Phone(601) 956-0911
Laboratory LocationInternal Medicine & Pediatric Associates PLLC6919 Old Canton Rd, Ridgeland, MS 39157
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Internal Medicine & Pediatric Associates's NPI number?

The NPI number for Internal Medicine & Pediatric Associates is 1558460642. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Internal Medicine & Pediatric Associates located?

Internal Medicine & Pediatric Associates is located at 6919 Old Canton Rd, Ridgeland, MS 39157. The listed phone number is (601) 956-0911.

What is Internal Medicine & Pediatric Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Internal Medicine & Pediatric Associates enrolled in Medicare?

Yes. Internal Medicine & Pediatric Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine & Pediatric Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Internal Medicine & Pediatric Associates, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Internal Medicine & Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D1046617) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Internal Medicine & Pediatric Associates accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Internal Medicine & Pediatric Associates 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 Internal Medicine & Pediatric Associates was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.