CHICKASAW MEDICAL CLINIC
NPI 1073920328
Clinic/Center - Rural Health in Houston, MS

Active since July 18, 2014CLIA 25D0711122 · Certificate of Compliance
208 COUNTRY CLUB RD, HOUSTON, MS 38851(662) 456-3437 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chickasaw Medical Clinic NPPES

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

CHICKASAW MEDICAL CLINIC (NPI 1073920328) is a healthcare organization registered as a rural health in Houston, Mississippi and active in the NPI registry since July 2014. The organization holds a CLIA Certificate of Compliance certificate valid through January 25, 2028 and lists Joseph A Reppert, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073920328
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePONTOTOC HEALTH SERVICES, INC.
Location Address208 COUNTRY CLUB RDHouston, MS 38851-9326
Mailing Address176 S Main StPontotoc, MS 38863-3311 · (662) 489-5510
Organization SubpartNo
Authorized OfficialJoseph A ReppertCfo · (662) 377-3978
Enumeration DateJuly 18, 2014
Last NPPES UpdateSeptember 3, 2014
NPI 1073920328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in MS · 16091
208 COUNTRY CLUB RD, Houston, MS 38851

Other Names 1

Doing Business AsChickasaw Medical Clinic

Other Identifiers 1

Medicare OSCAR/certification251308MS

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 Compliance 25D0711122

Nmmci Dba Chickasaw Medical Clinic · Houston, MS
Active · expires Jan 25, 2028
CLIA Number25D0711122
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorJudy Wyckoff
Laboratory Phone(662) 456-3437
Laboratory LocationNmmci Dba Chickasaw Medical Clinic208 Country Club Rd, Houston, MS 38851
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
208 COUNTRY CLUB RD
HOUSTON, MS 38851
Internal Medicine
208 COUNTRY CLUB RD
HOUSTON, MS 38851
Family Medicine
208 COUNTRY CLUB RD
HOUSTON, MS 38851
Family Medicine
208 COUNTRY CLUB RD
HOUSTON, MS 38851
Family Medicine
208 COUNTRY CLUB RD
HOUSTON, MS 38851

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 Pontotoc Health Services, Inc.'s NPI number?

The NPI number for Pontotoc Health Services, Inc. is 1073920328. It was assigned to this organization in the NPPES registry on July 18, 2014. The provider is doing business as Chickasaw Medical Clinic.

Where is Pontotoc Health Services, Inc. located?

Pontotoc Health Services, Inc. is located at 208 Country Club Rd, Houston, MS 38851. The listed phone number is (662) 456-3437.

What is Pontotoc Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pontotoc Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0711122) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pontotoc Health Services, Inc. was last updated on September 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.