MENDENHALL MEDICAL CLINIC LLC
NPI 1013729441
Clinic/Center - Primary Care in Mendenhall, MS
About Mendenhall Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENDENHALL MEDICAL CLINIC LLC (NPI 1013729441) is a healthcare organization registered as a primary care in Mendenhall, Mississippi and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Donald Garrett, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mendenhall Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mendenhall Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2317535
Mendenhall Medical Clinic · Mendenhall, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mendenhall Medical Clinic LLC's NPI number?
The NPI number for Mendenhall Medical Clinic LLC is 1013729441. It was assigned to this organization in the NPPES registry on January 22, 2025.
Where is Mendenhall Medical Clinic LLC located?
Mendenhall Medical Clinic LLC is located at 3661 Simpson Highway 49, Mendenhall, MS 39114. The listed phone number is (601) 292-9350.
What is Mendenhall Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mendenhall Medical Clinic LLC enrolled in Medicare?
Yes. Mendenhall Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mendenhall Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mendenhall Medical Clinic LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mendenhall Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2317535) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mendenhall Medical Clinic LLC accept?
Health plans from Molina Healthcare list Mendenhall Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mendenhall Medical Clinic LLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mendenhall Medical Clinic Llc · NPI 1013729441
Primary Care organization in Mendenhall, Mississippi. Organization record, active in the CMS NPPES registry since January 22, 2025.
## Identity
- **NPI:** 1013729441 (Entity type: Organization)
- **Enumerated:** January 22, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Donald Garrett, NP
## Practice location
- **Address:** 3661 SIMPSON HIGHWAY 49, Mendenhall, MS 39114-6001
- **Phone:** (601) 292-9350 · **Fax:** (601) 292-9351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013729441) · Data from the CMS NPPES public registry.