Centerwell Senior Primary Care Ms PC
NPI 1710693619ActiveOrganization· Internal Medicine· Jackson, MS
Internal Medicine in Jackson, Mississippi, registered in NPPES in January 2023, part of Centerwell Senior Primary Care Ms PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1710693619 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care Ms PC |
| NPI issued | Jan 25, 2023 |
| Last updated in NPPES | Jul 3, 2024 |
| Certified by provider | Jul 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Internal Medicine providers in Jackson
- 1821864174
- 1396806857
- 1699726836
- 1124436977
- 1154876290
- 1770324659
- 1003671793
- 1669917068
- 1942217120
- 1942413216
- 1013171198
- 1992774814