SHARKEY ISSAQUENA MEDICAL CLINIC
NPI 1073118501
Clinic/Center - Multi-Specialty in Rolling Fork, MS
About Sharkey Issaquena Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHARKEY ISSAQUENA MEDICAL CLINIC (NPI 1073118501) is a healthcare organization registered as a multi-specialty in Rolling Fork, Mississippi and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Steven Gerald Keever, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Sharkey Issaquena Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Sharkey Issaquena Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (18)
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 25D2216213
Sharkey Issaquena Medical Clinic · Rolling Fork, 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 Sharkey Issaquena Community Hospital's NPI number?
The NPI number for Sharkey Issaquena Community Hospital is 1073118501. It was assigned to this organization in the NPPES registry on December 2, 2020. The provider is doing business as Sharkey Issaquena Medical Clinic.
Where is Sharkey Issaquena Community Hospital located?
Sharkey Issaquena Community Hospital is located at 283 W Race St, Rolling Fork, MS 39159. The listed phone number is (662) 873-4395.
What is Sharkey Issaquena Community Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Sharkey Issaquena Community Hospital enrolled in Medicare?
Yes. Sharkey Issaquena Community Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sharkey Issaquena Community Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 6 Medicare specialties reassign their Medicare billing to Sharkey Issaquena Community Hospital. 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 (8), Diagnostic Radiology (3) and Family Practice (3). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sharkey Issaquena Community Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2216213) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sharkey Issaquena Community Hospital accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Sharkey Issaquena Community Hospital 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 Sharkey Issaquena Community Hospital was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sharkey Issaquena Medical Clinic · NPI 1073118501
Multi-Specialty organization in Rolling Fork, Mississippi. Organization record, active in the CMS NPPES registry since December 2, 2020.
## Identity
- **NPI:** 1073118501 (Entity type: Organization)
- **Enumerated:** December 2, 2020
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Sharkey Issaquena Community Hospital
- **Organization subpart:** No
- **Authorized official:** Steven Keever, CEO
## Practice location
- **Address:** 283 W RACE ST, Rolling Fork, MS 39159-2621
- **Phone:** (662) 873-4395
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Diagnostic Radiology (3), Family Practice (3); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073118501) · Data from the CMS NPPES public registry.