First Intermed Corporation
First Intermed Corporation is a healthcare organization registered as Family Medicine Physician in Jackson, MS, holding Type 2 (organization) NPI 1801820808 since 2006. The authorized official on file is Sam Scott, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1801820808 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | First Intermed Corporation |
| Other name | <Unavail> |
| Practice address | 1777 ELLIS AVE, Jackson, MS, 39204 |
| Phone | 6013710400 |
| Fax | 6013711533 |
| Enumeration date | 2006-07-10 |
| Last updated in NPPES | 2008-02-12 |
Authorized official
| Name | Sam Scott |
|---|---|
| Title | Cfo |
| Phone | 6018987525 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH7895 | Other | MS | RAILROAD MEDICARE |
| 09015301. | Medicaid | MS | — |
Copy-ready billing details
Provider: First Intermed Corporation NPI: 1801820808 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1777 ELLIS AVE, Jackson, MS, 39204
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073536785 | Diana Entrekin | Individual | Family Medicine Physician | Jackson, MS |
| 1912001579 | Genesis Physical Therapy | Organization | Physical Therapist | Jackson, MS |
| 1184047904 | Michael Brasel | Individual | Medical Physician Assistant | Jackson, MS |
| 1821533852 | Mea Primary Care Plus LLC | Organization | Family Medicine Physician | Jackson, MS |
Verify this record
Cross-check NPI 1801820808 against the authoritative CMS record: view First Intermed Corporation on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is First Intermed Corporation?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-02-12.