MADISON REGIONAL PHYSICIANS GROUP NPI 1417072620

NPI Information

  • NPI: 1417072620
  • Provider Name: MADISON REGIONAL PHYSICIANS GROUP
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 1421 E PEACE ST
    CANTON, MS
    ZIP 39046
  • Phone: (601) 859-1331

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NPI Details

MADISON REGIONAL PHYSICIANS GROUP is an internal medicine in Canton, MS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MADISON REGIONAL PHYSICIANS GROUP NPI is 1417072620. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1421 E PEACE ST
CANTON, MS
ZIP 39046-938
Phone: (601) 859-1331

The provider's authorized official is Brad Sinclair .
The authorized official title is Regional Manager and has the following contact phone number (601) 936-3113.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207P00000XEmergency MedicineNo
3207Q00000XFamily MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5208600000XSurgeryNo
6367500000XNurse Anesthetist, Certified RegisteredNo
7207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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