MISSISSIPPI MEDICAL CLINIC MENDENHALL
NPI 1093499907
Nurse Practitioner in Mendenhall, MS
About Mississippi Medical Clinic Mendenhall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSISSIPPI MEDICAL CLINIC MENDENHALL (NPI 1093499907) is a healthcare organization registered as a nurse practitioner in Mendenhall, Mississippi and active in the NPI registry since June 2023. The organization lists Chante N Ferguson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Mississippi Medical Clinic Mendenhall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mississippi Medical Clinic Mendenhall, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mississippi Medical Clinic Of Mendehall's NPI number?
The NPI number for Mississippi Medical Clinic Of Mendehall is 1093499907. It was assigned to this organization in the NPPES registry on June 12, 2023. The provider is doing business as Mississippi Medical Clinic Mendenhall.
Where is Mississippi Medical Clinic Of Mendehall located?
Mississippi Medical Clinic Of Mendehall is located at 2170 Simpson Highway 49, Mendenhall, MS 39114. The listed phone number is (601) 675-1200.
What is Mississippi Medical Clinic Of Mendehall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mississippi Medical Clinic Of Mendehall enrolled in Medicare?
Yes. Mississippi Medical Clinic Of Mendehall is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mississippi Medical Clinic Of Mendehall?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mississippi Medical Clinic Of Mendehall. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mississippi Medical Clinic Of Mendehall accept?
Health plans from Molina Healthcare list Mississippi Medical Clinic Of Mendehall 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 Mississippi Medical Clinic Of Mendehall was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mississippi Medical Clinic Mendenhall · NPI 1093499907
Nurse Practitioner organization in Mendenhall, Mississippi. Organization record, active in the CMS NPPES registry since June 12, 2023.
## Identity
- **NPI:** 1093499907 (Entity type: Organization)
- **Enumerated:** June 12, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Mississippi Medical Clinic Of Mendehall
- **Organization subpart:** No
- **Authorized official:** Chante Ferguson, OWNER
## Practice location
- **Address:** 2170 SIMPSON HIGHWAY 49, Mendenhall, MS 39114-5418
- **Phone:** (601) 675-1200 · **Fax:** (601) 375-1209
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093499907) · Data from the CMS NPPES public registry.