DIABETES AND ENDOCRINE CENTER OF MS
NPI 1568764504
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jackson, MS
About Diabetes And Endocrine Center Of Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIABETES AND ENDOCRINE CENTER OF MS (NPI 1568764504) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Jackson, Mississippi and active in the NPI registry since November 2010. The organization lists Terri Fewell, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diabetes And Endocrine Center Of Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Diabetes And Endocrine Center Of Ms, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Jackson, MS 39216
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Diabetes And Endocrine Center Of Ms's NPI number?
The NPI number for Diabetes And Endocrine Center Of Ms is 1568764504. It was assigned to this organization in the NPPES registry on November 24, 2010.
Where is Diabetes And Endocrine Center Of Ms located?
Diabetes And Endocrine Center Of Ms is located at 971 Lakeland Dr Suite 450, Jackson, MS 39216. The listed phone number is (601) 948-5158.
What is Diabetes And Endocrine Center Of Ms's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Diabetes And Endocrine Center Of Ms enrolled in Medicare?
Yes. Diabetes And Endocrine Center Of Ms is registered in the Medicare PECOS enrollment system.
When is Diabetes And Endocrine Center Of Ms's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Diabetes And Endocrine Center Of Ms?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Diabetes And Endocrine Center Of Ms. 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. The largest specialties are Endocrinology (8), Registered Dietitian or Nutrition Professional (2) and Nurse Practitioner (1). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Diabetes And Endocrine Center Of Ms was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Diabetes And Endocrine Center Of Ms · NPI 1568764504
Endocrinology, Diabetes & Metabolism organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since November 24, 2010.
## Identity
- **NPI:** 1568764504 (Entity type: Organization)
- **Enumerated:** November 24, 2010
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Terri Fewell, OFFICE MANAGER
## Practice location
- **Address:** 971 LAKELAND DR, SUITE 450, Jackson, MS 39216-4643
- **Phone:** (601) 948-5158 · **Fax:** (601) 326-4265
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Endocrinology (8), Registered Dietitian or Nutrition Professional (2), Nurse Practitioner (1); 9 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568764504) · Data from the CMS NPPES public registry.