MEDSERVE, PA – NPI #1871883223
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MEDSERVE, PA is a provider located in JACKSON, MS. NPPES has assigned the NPI number 1871883223 to MEDSERVE, PA on April 19, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jan 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDSERVE, PA below.

NPI Profile for
MEDSERVE, PA

NPI Number
1871883223
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDSERVE, PA
Primary location
MANHATTAN NURSING AND REHABILITATION CENTER
4540 MANHATTAN RD
JACKSON, MS 39206
Phone: (601) 206-0901 Fax: (888) 240-6288
5 Other location(s):
Clinton Healthcare
1251 Pinehaven Rd
Clinton, MS 39056
Phone: (601) 206-0901
Fax: (888) 240-6288
Aurora Health and Rehabilitation
310 Emerald Dr
Columbus, MS 39702
Phone: (601) 206-0901
Fax: (888) 240-6288
Compere's Nursing Home
865 North St
Jackson, MS 39202
Phone: (601) 206-0901
Fax: (888) 240-6288
Magnolia Senior Care
3701 Peter Quinn Dr
Jackson, MS 39213
Phone: (601) 206-0901
Fax: (888) 240-6288
Lexington Manor Nursing Home
56 Rockport Rd
Lexington, MS 39095
Phone: (601) 206-0901
Fax: (888) 240-6288
Mailing address
200 AMITY LN
BRANDON, MS 39047
Phone: (601) 206-0901 Fax: (888) 240-6288
Organization Subpart
No
Authorized Official
TODD FULCHER
PHYSICIAN, OWNER
Phone: (601) 206-0901
Updated
Certification Date
Jan 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEDSERVE, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS05675311
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MS 12503

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.