Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Diabetes and Endocrine Center of MS

Organization Specialist · NPI 1568764504

Diabetes and Endocrine Center of MS provides Specialist services in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
Specialties on file
4

Practice location Address checks out

971 Lakeland Dr Ste 450
Jackson, MS 39216-4643
Phone: (601) 948-5158
Fax: (601) 326-4265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X
Specialist Taxonomy 174400000X · Licence 19640 (MS)
Specialist Taxonomy 174400000X · Licence 21031 (MS)
Specialist Taxonomy 174400000X · Licence 20965 (MS)

Record details

NPI number1568764504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Fewell — Office Manager · (601) 292-1228
NPI enumeratedNovember 24, 2010
Last updated in NPPESMay 30, 2023
Certification dateMay 11, 2023
Mailing address971 Lakeland Dr, Suite 450, Jackson, MS 39216-4643

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