MISSISSIPPI ASTHMA & ALLERGY CLINIC PA
NPI 1902882251
Allergy & Immunology in Jackson, MS

NPI Status: Active since December 19, 2005

Contact Information

1513 LAKELAND DR
STE 100
JACKSON, MS
ZIP 39216
Phone: (601) 354-4836
Fax: (601) 354-2619

Get Directions Write a Review

  • Organization
  • Allergy & Immunology
  • Accepts Insurance

About MISSISSIPPI ASTHMA & ALLERGY CLINIC PA

This page provides the complete NPI Profile along with additional information for Mississippi Asthma & Allergy Clinic Pa, a provider established in Jackson, Mississippi operating as a Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1902882251 assigned on December 2005. The practitioner's primary taxonomy code is 207K00000X. The provider is registered as an organization and their NPI record was last updated 16 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 authorized official of this NPI record is Mr. David L Moak (Practice Administrator)

NPI
1902882251
Provider Name
MISSISSIPPI ASTHMA & ALLERGY CLINIC PA
Entity Type
Organization
Location Address
1513 LAKELAND DR STE 100 JACKSON, MS 39216
Location Phone
(601) 354-4836
Location Fax
(601) 354-2619
Mailing Address
1513 LAKELAND DR STE 101 JACKSON, MS 39216
Mailing Phone
(601) 354-4836
Mailing Fax
(601) 354-2619
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2005
Last Update Date
02-16-2010
Code Navigator

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

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

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:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID L MOAK

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(601) 354-4836

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
030001646OTHER (01)MSRR MEDICARE
030000016MEDICARE PIN (08) 
P00236071OTHER (01)MSRR MEDICARE
030000037MEDICARE PIN (08) 
030002483OTHER (01)MSRR MEDICARE
030003287OTHER (01)MSRR MEDICARE
030000004MEDICARE PIN (08) 
030000017MEDICARE PIN (08) 

Reviews for MISSISSIPPI ASTHMA & ALLERGY CLINIC PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI 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 1902882251, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 8 → 16 → 7 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 6 + 8 + 4 + 2 + 1 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1902882251.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Allergy & Immunology
1513 LAKELAND DR, STE 101
JACKSON, MS 39216
Dentist
1513 LAKELAND DR, SUITE 201
JACKSON, MS 39216
Family Medicine
1513 LAKELAND DR, SUITE 200
JACKSON, MS 39216
Behavior Analyst
1513 LAKELAND DR
JACKSON, MS 39216
Counselor (Professional)
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Analyst
1513 LAKELAND DR
JACKSON, MS 39216
Counselor (Mental Health)
1513 LAKELAND DR
JACKSON, MS 39216
Pediatrics
1513 LAKELAND DR, SUITE 101
JACKSON, MS 39216
Counselor (Professional)
1513 LAKELAND DR
JACKSON, MS 39216
Social Worker (Clinical)
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Allergy & Immunology
1513 LAKELAND DR, SUITE 101
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902882251, enumerated as an "organization" on December 19, 2005.

The provider is located at 1513 LAKELAND DR STE 100 JACKSON, MS 39216 and the phone number is (601) 354-4836.

Allergy & Immunology with taxonomy code 207K00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.