Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diabetes and Endocrine Center of MS

Organization Specialist · NPI 1568764504

Diabetes and Endocrine Center of MS is a Specialist 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

Other providers in Jackson