SMRMC-INTERNAL MEDICINE
NPI 1689624090
Internal Medicine in Mccomb, MS
- Organization
- Internal Medicine
- CLIA Number: 25D2001353
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-16-2027
About SMRMC-INTERNAL MEDICINE
This page provides the complete NPI Profile along with additional information for Smrmc-internal Medicine, an internist established in Mccomb, Mississippi operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1689624090 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Smrmc-internal Medicine. The authorized official of this NPI record is Mr. David Sinclair (Director)
- NPI
- 1689624090 Verify this NPI
- Provider Legal Name
- SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
- Other Organization Name
- SMRMC-INTERNAL MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 300 MARION AVE SUITE C MCCOMB, MS 39648
- Location Phone
- (601) 249-1350
- Location Fax
- (601) 249-2226
- Mailing Address
- 300 MARION AVE SUITE C MCCOMB, MS 39648
- Mailing Phone
- (601) 249-1350
- Mailing Fax
- (601) 249-2226
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-10-2006
- Last Update Date
- 10-12-2007
- Code Navigator
An internist like Smrmc-internal Medicine 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
- 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 |
|---|---|---|---|
| 09014058 | MEDICAID (05) | MS | |
| C02196 | MEDICARE PIN (08) | MS |
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
- 25D2001353
- Facility Type
- Physician Office
- Certificate Effective Date
- December 17, 2025
- Certificate Expiration Date
- December 16, 2027
- Laboratory Director
- DR. PATRICK R. DAIGLE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Smrmc-internal Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MCCOMB, MS 39648
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689624090, enumerated as an "organization" on May 10, 2006.
The provider is located at 300 MARION AVE SUITE C MCCOMB, MS 39648 and the phone number is (601) 249-1350.
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.
