MEDICAL FOUNDATION INC. NPI 1609820539

NPI Information

  • NPI: 1609820539
  • Provider Name: MEDICAL FOUNDATION, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 25D1020992
  • Address: 1314 19TH AVE
    MERIDIAN, MS
    ZIP 39301
  • Phone: (601) 703-3310

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NPI Details

MEDICAL FOUNDATION, INC. is a family medicine in Meridian, MS. The provider is 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. MEDICAL FOUNDATION, INC. NPI is 1609820539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1314 19TH AVE
MERIDIAN, MS
ZIP 39301-116
Phone: (601) 703-3310
Fax: (601) 703-3311

The provider's authorized official is Don Larkin Kennedy .
The authorized official title is Regional Ceo and has the following contact phone number (601) 703-9614.

The CLIA number assigned to this NPI record is 25D1020992 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/22/2006 and was last updated on 4/21/2023.

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
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207T00000XNeurological SurgeryNo
6207V00000XObstetrics & GynecologyNo
7208000000XPediatricsNo
8208100000XPhysical Medicine & RehabilitationNo
92085R0202XRadiologyDiagnostic RadiologyNo
10208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
11208M00000XHospitalistNo
12363A00000XPhysician AssistantNo
13363L00000XNurse PractitionerNo
14363LA2100XNurse PractitionerAcute CareNo
15207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109014742MEDICAIDMISSISSIPPI

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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