MID SOUTH HEALTH SYSTEMS, INC.
NPI 1104077676
Community/Behavioral Health in Corning, AR
About Mid South Health Systems, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID SOUTH HEALTH SYSTEMS, INC. (NPI 1104077676) is a healthcare organization registered as a community/behavioral health in Corning, Arkansas and active in the NPI registry since October 2008. The organization lists Donnie Lyerly, Provider Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid South Health Systems, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Mid South Health Systems, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 43Source: 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 Northeast Arkansas Community Mental Health Center Inc's NPI number?
The NPI number for Northeast Arkansas Community Mental Health Center Inc is 1104077676. It was assigned to this organization in the NPPES registry on October 2, 2008. The provider is doing business as Mid South Health Systems, Inc..
Where is Northeast Arkansas Community Mental Health Center Inc located?
Northeast Arkansas Community Mental Health Center Inc is located at 602 David St, Corning, AR 72422. The listed phone number is (870) 857-3655.
What is Northeast Arkansas Community Mental Health Center Inc's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Northeast Arkansas Community Mental Health Center Inc enrolled in Medicare?
Yes. Northeast Arkansas Community Mental Health Center Inc is registered in the Medicare PECOS enrollment system.
When is Northeast Arkansas Community Mental Health Center Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northeast Arkansas Community Mental Health Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 5 Medicare specialties reassign their Medicare billing to Northeast Arkansas Community Mental Health Center Inc. 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 Clinical Social Worker (25), Nurse Practitioner (8) and Psychiatry (6). 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.
When was this NPI record last updated?
The NPPES record for Northeast Arkansas Community Mental Health Center Inc was last updated on April 22, 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.
# Mid South Health Systems, Inc. · NPI 1104077676
Community/Behavioral Health organization in Corning, Arkansas. Organization record, active in the CMS NPPES registry since October 2, 2008.
## Identity
- **NPI:** 1104077676 (Entity type: Organization)
- **Enumerated:** October 2, 2008
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Northeast Arkansas Community Mental Health Center Inc
- **Organization subpart:** Yes (part of Northeast Arkansas Community Mental Health Center Inc)
- **Authorized official:** Donnie Lyerly, PROVIDER CREDENTIALING
## Practice location
- **Address:** 602 DAVID ST, Corning, AR 72422-7268
- **Phone:** (870) 857-3655 · **Fax:** (870) 972-4911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 43 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (25), Nurse Practitioner (8), Psychiatry (6); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1104077676/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2022
- **Other identifiers:** Medicaid 172106526 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1104077676) · Data from the CMS NPPES public registry.