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

Q: What is Internal Medicine & Pediatric Associates's specialty?

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

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: August 09, 2026.

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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

Phone(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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 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.

Other Providers at the Same Location NPPES 5

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

JASON HICKS M.D.

Internal Medicine