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RODGERS MEDICAL CLINIC
NPI 1033095617
Clinic/Center - Primary Care in Durant, MS

Active since August 12, 2025CLIA 25D2333232 · Microscopy
630 NORTHWEST AVE, DURANT, MS 39063(662) 653-3011(662) 653-6423 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2025, Aug 12, 2025 (2 updates tracked since 2025).

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

NPI1033095617
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRODGERS MEDICAL CLINIC
Location Address630 NORTHWEST AVEDurant, MS 39063-3337
Mailing Address13418 Attala Road 4101Sallis, MS 39160-5242 · (601) 613-7835
Phone(662) 653-3011
Fax(662) 653-6423
Organization SubpartNo
Authorized OfficialPhillip Eric RodgersNurse Practitioner · (601) 613-7835
Enumeration DateAugust 12, 2025
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1033095617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
630 NORTHWEST AVE, Durant, MS 39063
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Other Names 1

Other NameRodgers Medical Clinic

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 for Provider-Performed Microscopy Procedures (PPMP) 25D2333232

Rodgers Medical Clinic · Durant, MS
Active · expires Oct 30, 2027
CLIA Number25D2333232
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorPhillip E. Rodgers
Laboratory Phone(662) 653-3011
Laboratory LocationRodgers Medical Clinic630 Northwest Ave, Durant, MS 39063
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

DR. WIRT FLETCHER SHROCK JR. M.D.
Family Medicine
630 NORTHWEST AVE
DURANT, MS 39063
Holmes County (662) 653-3012
PHILLIP ERIC RODGERS FNP-C
Nurse Practitioner (Family)
630 NORTHWEST AVE
DURANT, MS 39063
Holmes County (662) 653-3011

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 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.

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 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 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 11 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.