PICAYUNE INTERNAL MEDICINE
NPI 1033846068
Clinic/Center - Primary Care in Carriere, MS
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 holds a CLIA Waiver certificate valid through August 8, 2028 and lists Jamie Wilson, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Picayune Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Picayune Internal Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 of Waiver 25D2266374
Picayune Internal Medicine · Carriere, 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 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.
Is Picayune Internal Medicine enrolled in Medicare?
Yes. Picayune Internal Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Picayune Internal Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Picayune Internal Medicine, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Picayune Internal Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2266374) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# Picayune Internal Medicine · NPI 1033846068
Primary Care organization in Carriere, Mississippi. Organization record, active in the CMS NPPES registry since August 1, 2022.
## Identity
- **NPI:** 1033846068 (Entity type: Organization)
- **Enumerated:** August 1, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jamie Wilson, OFFICE MANAGER
## Practice location
- **Address:** 200 GOLF COURSE DR, Carriere, MS 39426-9037
- **Phone:** (601) 699-9846
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033846068) · Data from the CMS NPPES public registry.