PICAYUNE INTERNAL MEDICINE
NPI 1033846068
Clinic/Center - Primary Care in Carriere, MS

Active since August 01, 2022
200 GOLF COURSE DR, CARRIERE, MS 39426(601) 699-9846 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Picayune Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PICAYUNE INTERNAL MEDICINE (NPI 1033846068) is a healthcare organization registered as a primary care in Carriere, Mississippi and active in the NPI registry since August 2022. The organization lists Jamie Wilson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033846068
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePICAYUNE INTERNAL MEDICINE
Location Address200 GOLF COURSE DRCarriere, MS 39426-9037
Mailing Address200 Golf Course DrCarriere, MS 39426-9037 · (601) 699-9846
Organization SubpartNo
Authorized OfficialJamie WilsonOffice Manager · (601) 699-9846
Enumeration DateAugust 1, 2022
NPPES CertifiedAugust 1, 2022
NPI 1033846068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
200 GOLF COURSE DR, Carriere, MS 39426

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 25D2266374

Picayune Internal Medicine · Carriere, MS
Expired · Aug 8, 2026
CLIA Number25D2266374
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorDr. Ahmad Haidar
Laboratory Phone(601) 699-9846
Laboratory LocationPicayune Internal Medicine200 Golf Course Dr, Carriere, MS 39426
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

Nurse Practitioner (Primary Care)
200 GOLF COURSE DR
CARRIERE, MS 39426
Nurse Practitioner (Acute Care)
200 GOLF COURSE DR
CARRIERE, MS 39426

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 Picayune Internal Medicine's NPI number?

The NPI number for Picayune Internal Medicine is 1033846068. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Picayune Internal Medicine located?

Picayune Internal Medicine is located at 200 Golf Course Dr, Carriere, MS 39426. The listed phone number is (601) 699-9846.

What is Picayune Internal Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Picayune Internal Medicine accept?

Health plans from Molina Healthcare list Picayune Internal Medicine 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 Picayune Internal Medicine was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.