STARKVILLE INTERNAL MEDICINE CLINIC NPI 1619084613

NPI Information

  • NPI: 1619084613
  • Provider Name: STARKVILLE INTERNAL MEDICINE CLINIC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 25D0320290
  • Address: 107 BRANDON RD
    STARKVILLE, MS
    ZIP 39759
  • Phone: (662) 324-1291

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NPI Details

STARKVILLE INTERNAL MEDICINE CLINIC is an internal medicine in Starkville, 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. STARKVILLE INTERNAL MEDICINE CLINIC NPI is 1619084613. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

107 BRANDON RD
STARKVILLE, MS
ZIP 39759-521
Phone: (662) 324-1291
Fax: (662) 324-2196

The provider's authorized official is Benjamin F. Sanford .
The authorized official title is President and has the following contact phone number (662) 324-1291.

The CLIA number assigned to this NPI record is 25D0320290 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/24/2006 and was last updated on 1/15/2015.

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
1207RG0100XInternal MedicineGastroenterologyNo
2207R00000XInternal 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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