MENDENHALL MEDICAL CLINIC LLC
NPI 1013729441
Clinic/Center - Primary Care in Mendenhall, MS

Q: 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.

Q: 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.

Active since January 22, 2025CLIA 25D2317535 · Waiver

3661 SIMPSON HIGHWAY 49, MENDENHALL, MS 39114(601) 292-9350(601) 292-9351 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1013729441

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameMENDENHALL MEDICAL CLINIC LLC

Location Address3661 SIMPSON HIGHWAY 49Mendenhall, MS 39114-6001

Mailing Address3661 Simpson Highway 49Mendenhall, MS 39114-6001 · (601) 292-9350 · Fax (601) 292-9351

Phone(601) 292-9350

Fax(601) 292-9351

Organization SubpartNo

Authorized OfficialDonald GarrettNp · (601) 502-3574

Enumeration DateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1013729441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

3661 SIMPSON HIGHWAY 49, Mendenhall, MS 39114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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, MS

Active · expires Jan 26, 2027

CLIA Number25D2317535

Laboratory TypePractitioner Other

Certificate Effective DateJanuary 27, 2025

Certificate Expiration DateJanuary 26, 2027

Laboratory DirectorMary Nevels

Laboratory Phone(601) 203-0617

Laboratory LocationMendenhall Medical Clinic3661 Highway 49 South, Mendenhall, MS 39114

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY LOIS NEVELS FNP

Nurse Practitioner (Family)

3661 SIMPSON HIGHWAY 49
MENDENHALL, MS 39114

Simpson County (601) 292-9350

Frequently 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.

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 18 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.