# MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Neurological Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003098096
- **Authorized official:** ELIZABETH H. MULLINS (DIRECTOR OF CLINIC ADMINISTRATION)
- **Authorized official phone:** (601) 292-4261

## Contact information

- **Practice address:** 1200 N STATE ST, SUITE 420, JACKSON, MS 39202-2001
- **Practice address phone:** (601) 355-3353
- **Practice address fax:** (601) 355-3365
- **Mailing address:** PO BOX 2153, DEPT 1947, BIRMINGHAM, AL 35287-0001
- **Mailing address phone:** (601) 355-3353
- **Mailing address fax:** (601) 355-3365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 06/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01627892 | — | MS |
| 01 | — | C02783 | MEDICARE GROUP NUMBER | MS |
| 01 | — | DA0407 | RR MEDICARE | — |