MANTACHIE CLINIC
NPI 1033169545
Family Medicine in Mantachie, MS
About Mantachie Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANTACHIE CLINIC (NPI 1033169545) is a healthcare organization registered as a family medicine in Mantachie, Mississippi and active in the NPI registry since May 2006. The organization holds 3 active CLIA laboratory certificates and lists Patsy T Collins, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 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)
Mantachie Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Mantachie Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 3
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 Compliance 25D0317142
Mantachie Rural Health Care Inc · Mantachie, MSCertificate of Waiver 25D2257847
Mantachie Rural Health Care, Inc Behavioral Health Clinic · Mantachie, MSCertificate of Waiver 25D2171220
Mantachie Rural Health Care, Inc School Base Clinic · Mantachie, 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 Mantachie Rural Health Care, Inc's NPI number?
The NPI number for Mantachie Rural Health Care, Inc is 1033169545. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Mantachie Clinic.
Where is Mantachie Rural Health Care, Inc located?
Mantachie Rural Health Care, Inc is located at 5681 Highway 363, Mantachie, MS 38855. The listed phone number is (662) 282-4226.
What is Mantachie Rural Health Care, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mantachie Rural Health Care, Inc enrolled in Medicare?
Yes. Mantachie Rural Health Care, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mantachie Rural Health Care, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Mantachie Rural Health Care, Inc. 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. The largest specialties are Nurse Practitioner (5), Clinical Social Worker (1) and Family Practice (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mantachie Rural Health Care, Inc hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Mantachie Rural Health Care, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Mantachie Rural Health Care, Inc 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 Mantachie Rural Health Care, Inc was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mantachie Clinic · NPI 1033169545
Family Medicine organization in Mantachie, Mississippi. Organization record, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1033169545 (Entity type: Organization)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Mantachie Rural Health Care, Inc
- **Organization subpart:** No
- **Authorized official:** Patsy Collins, CEO
## Practice location
- **Address:** 5681 HIGHWAY 363, Mantachie, MS 38855-7632
- **Phone:** (662) 282-4226 · **Fax:** (662) 282-7946
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Clinical Social Worker (1), Family Practice (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2014
- **Other identifiers:** Medicare OSCAR/certification 251852 (MS); Medicaid 09014269 (MS)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033169545) · Data from the CMS NPPES public registry.