RODGERS MEDICAL CLINIC
NPI 1033095617
Clinic/Center - Primary Care in Durant, MS
About Rodgers Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RODGERS MEDICAL CLINIC (NPI 1033095617) is a healthcare organization registered as a primary care in Durant, Mississippi and active in the NPI registry since August 2025. The organization holds a CLIA Microscopy certificate valid through October 30, 2027 and lists Phillip Eric Rodgers, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Rodgers Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Rodgers Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 25D2333232
Rodgers Medical Clinic · Durant, 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 Rodgers Medical Clinic's NPI number?
The NPI number for Rodgers Medical Clinic is 1033095617. It was assigned to this organization in the NPPES registry on August 12, 2025.
Where is Rodgers Medical Clinic located?
Rodgers Medical Clinic is located at 630 Northwest Ave, Durant, MS 39063. The listed phone number is (662) 653-3011.
What is Rodgers Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Rodgers Medical Clinic enrolled in Medicare?
Yes. Rodgers Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rodgers Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rodgers Medical Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rodgers Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D2333232) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rodgers Medical Clinic accept?
Health plans from Molina Healthcare list Rodgers Medical Clinic 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 Rodgers Medical Clinic was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Rodgers Medical Clinic · NPI 1033095617
Primary Care organization in Durant, Mississippi. Organization record, active in the CMS NPPES registry since August 12, 2025.
## Identity
- **NPI:** 1033095617 (Entity type: Organization)
- **Enumerated:** August 12, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Rodgers Medical Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Phillip Rodgers, NURSE PRACTITIONER
## Practice location
- **Address:** 630 NORTHWEST AVE, Durant, MS 39063-3337
- **Phone:** (662) 653-3011 · **Fax:** (662) 653-6423
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033095617) · Data from the CMS NPPES public registry.