BAPTIST MEDICAL CLINIC
NPI 1891022547
Internal Medicine - Cardiovascular Disease in Koscuisko, MS

Q: What is Medical Foundation Of Central Mississippi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since November 17, 2009CLIA 25D2104929 · Waiver

329 HIGHWAY 12 WEST, KOSCUISKO, MS 39090(601) 292-4261(601) 292-4262 Get Directions Write a Review

NPPES record last updated: November 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Baptist Medical Clinic NPPES

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

BAPTIST MEDICAL CLINIC (NPI 1891022547) is a healthcare organization registered as a cardiovascular disease in Koscuisko, Mississippi and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Elizabeth Mullins, Director Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1891022547

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameMEDICAL FOUNDATION OF CENTRAL MISSISSIPPI

Location Address329 HIGHWAY 12 WESTKoscuisko, MS 39090

Mailing Address1151 N State St, Suite 504Jackson, MS 39202-2407 · (601) 292-4261 · Fax (601) 292-4262

Phone(601) 292-4261

Fax(601) 292-4262

Organization SubpartYes

Authorized OfficialElizabeth MullinsDirector Clinic Operations · (601) 292-4261

Enumeration DateNovember 17, 2009

✔ NPI 1891022547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

329 HIGHWAY 12 WEST, Koscuisko, MS 39090

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Other Names 1

Doing Business AsBaptist Medical Clinic

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

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 Waiver 25D2104929

Baptist Medical Clinic Kosciusko · Kosciusko, MS

Active · expires Nov 15, 2027

CLIA Number25D2104929

Laboratory TypePhysician Office

Certificate Effective DateNovember 16, 2025

Certificate Expiration DateNovember 15, 2027

Laboratory DirectorBobbye Carpenter

Laboratory Phone(662) 290-3251

Laboratory LocationBaptist Medical Clinic Kosciusko220 Highway 12 West, Kosciusko, MS 39090

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Medical Foundation Of Central Mississippi's NPI number?

The NPI number for Medical Foundation Of Central Mississippi is 1891022547. It was assigned to this organization in the NPPES registry on November 17, 2009. The provider is doing business as Baptist Medical Clinic.

Where is Medical Foundation Of Central Mississippi located?

Medical Foundation Of Central Mississippi is located at 329 Highway 12 West, Koscuisko, MS 39090. The listed phone number is (601) 292-4261.

What is Medical Foundation Of Central Mississippi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Medical Foundation Of Central Mississippi hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2104929) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Foundation Of Central Mississippi was last updated on November 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.