Diabetes and Endocrine Center of Ms
NPI 1568764504ActiveOrganization· Internal Medicine, Endocrinology, Diabetes & Metabolism· Jackson, MS
Internal Medicine, Endocrinology, Diabetes & Metabolism in Jackson, Mississippi, registered in NPPES in November 2010. The authorized official on file is Terri Fewell, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568764504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 24, 2010 |
| Last updated in NPPES | May 30, 2023 |
| Certified by provider | May 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | — | — |
| Specialist | 174400000X | 19640 | MS |
| Specialist | 174400000X | 21031 | MS |
| Specialist | 174400000X | 20965 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Internal Medicine, Endocrinology, Diabetes & Metabolism providers in Jackson
- 1003045816
- 1255084398
- 1053501643
- 1114118940
- 1134671787
- 1033494372
- 1780902155
- 1023323029
- 1306167788
- 1699783928
- 1932132495
- 1255349502
All Internal Medicine, Endocrinology, Diabetes & Metabolism providers in Mississippi →