NPI 1124436977 · live from the CMS NPI Registry
Crescentworld Enterprises, PLLC
Internal Medicine in Jackson, MS. National Provider Identifier 1124436977, active.
NPI record
| NPI | 1124436977 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 406 Briarwood Dr Ste 401, Jackson, MS 39206 |
| Practice phone | 601-707-7899 |
| Mailing address | Po Box 5025, Jackson, MS 39296 |
| Enumerated | July 24, 2014 |
| Last updated | September 26, 2023 |
| Authorized official | Berthrone Mock-Muhammad, Physician Owner |
| Other names | Heartplus Diagnostic Clinic /Celestial Health & Wellness; Heart Plus Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| 2251C2600X | — | |
| Physical Therapist, Electrophysiology, Clinical | 2251E1300X | — |
| Massage Therapist | 225700000X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.