OFF MAIN STREET MEDICAL PLLC
NPI 1023408614
Nurse Practitioner - Family in Taylorsville, MS
About Off Main Street Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OFF MAIN STREET MEDICAL PLLC (NPI 1023408614) is a healthcare organization registered as a family in Taylorsville, Mississippi and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Sharon L Scruggs, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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 25D2091937
Off Main Street Medical · Taylorsville, MSOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Off Main Street Medical PLLC's NPI number?
The NPI number for Off Main Street Medical PLLC is 1023408614. It was assigned to this organization in the NPPES registry on February 3, 2015.
Where is Off Main Street Medical PLLC located?
Off Main Street Medical PLLC is located at 336 Eureka Street, Taylorsville, MS 39168. The listed phone number is (601) 785-4322.
What is Off Main Street Medical PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Off Main Street Medical PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2091937) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Off Main Street Medical PLLC 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 Off Main Street Medical PLLC 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 Off Main Street Medical PLLC was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
