DIABETES AND ENDOCRINE CENTER OF MS
NPI 1568764504
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jackson, MS
NPI Status: Active since November 24, 2010
Contact Information
971 LAKELAND DR
SUITE 450
JACKSON, MS
ZIP 39216
Phone: (601) 948-5158
Fax: (601) 326-4265
- Organization
- Internal Medicine
- Endocrinology, Diabetes & Metabolism
- CLIA Number: 25D0318379
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 12-22-2025
About DIABETES AND ENDOCRINE CENTER OF MS
This page provides the complete NPI Profile along with additional information for Diabetes And Endocrine Center Of Ms, an internist established in Jackson, Mississippi operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1568764504 assigned on November 2010. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Diabetes And Endocrine Center Of Ms operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Terri Fewell (Office Manager)
- NPI
- 1568764504
- Provider Name
- DIABETES AND ENDOCRINE CENTER OF MS
- Entity Type
- Organization
- Location Address
- 971 LAKELAND DR SUITE 450 JACKSON, MS 39216
- Location Phone
- (601) 948-5158
- Location Fax
- (601) 326-4265
- Mailing Address
- 971 LAKELAND DR SUITE 450 JACKSON, MS 39216
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-24-2010
- Last Update Date
- 05-30-2023
- Code Navigator
An internist like Diabetes And Endocrine Center Of Ms 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 Endocrinology, Diabetes & Metabolism
- Taxonomy Code
- 207RE0101X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | 19640 (MS) |
| 2 | 174400000X | Other Service Providers | Specialist | 21031 (MS) |
| 3 | 174400000X | Other Service Providers | Specialist | 20965 (MS) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0318379
- Facility Type
- Practitioner Other
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- DR. JEREMY S. TAYLOR
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Diabetes And Endocrine Center Of Ms on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568764504, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568764504, enumerated as an "organization" on November 24, 2010.
The provider is located at 971 LAKELAND DR SUITE 450 JACKSON, MS 39216 and the phone number is (601) 948-5158.
Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.
