THE MCINNIS CLINIC PLLC
NPI 1114447083
Internal Medicine in Reidsville, NC
About The Mcinnis Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE MCINNIS CLINIC PLLC (NPI 1114447083) is a healthcare organization registered as an internal medicine in Reidsville, North Carolina and active in the NPI registry since June 2017. The organization lists Cesar N Kalombo, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
The Mcinnis Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to The Mcinnis Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 The Mcinnis Clinic PLLC's NPI number?
The NPI number for The Mcinnis Clinic PLLC is 1114447083. It was assigned to this organization in the NPPES registry on June 22, 2017.
Where is The Mcinnis Clinic PLLC located?
The Mcinnis Clinic PLLC is located at 1123 S Main St Ste C, Reidsville, NC 27320. The listed phone number is (336) 342-4286.
What is The Mcinnis Clinic PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is The Mcinnis Clinic PLLC enrolled in Medicare?
Yes. The Mcinnis Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Mcinnis Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to The Mcinnis Clinic PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does The Mcinnis Clinic PLLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list The Mcinnis Clinic PLLC 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 The Mcinnis Clinic PLLC was last updated on December 12, 2023. 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.
# The Mcinnis Clinic Pllc · NPI 1114447083
Internal Medicine organization in Reidsville, North Carolina. Organization record, active in the CMS NPPES registry since June 22, 2017.
## Identity
- **NPI:** 1114447083 (Entity type: Organization)
- **Enumerated:** June 22, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Cesar Kalombo, MANAGING MEMBER
## Practice location
- **Address:** 1123 S MAIN ST STE C, Reidsville, NC 27320-5340
- **Phone:** (336) 342-4286 · **Fax:** (866) 258-0126
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114447083) · Data from the CMS NPPES public registry.