OrganizationActive
Diabetes and Endocrine Center of Ms
NPI 1568764504 · Endocrinology, Diabetes & Metabolism Physician · Jackson, MS
Provider details
- NPI number
- 1568764504
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terri Fewell, Office Manager(601) 292-1228
- License
- 19640 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
971 Lakeland Dr
Suite 450
Jackson, MS 39216-4643
Phone: (601) 948-5158
Fax: (601) 326-4265
Approximate (ZIP-level) locationGet directions
Mailing address
971 Lakeland Dr
Jackson, MS 39216-4643
Registry dates
- Enumerated
- 2010-11-24
- Last updated
- 2023-05-30
- Certified
- 2023-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.