SU CLINICA CORINTH LLC
NPI 1154299147
Nurse Practitioner - Family in Corinth, MS
About Su Clinica Corinth Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SU CLINICA CORINTH LLC (NPI 1154299147) is a healthcare organization registered as a family in Corinth, Mississippi and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Maggie Macias, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 25D2335836
Su Clinica Corinth, LLC · Corinth, MSOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORINTH, MS 38834
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 Su Clinica Corinth LLC's NPI number?
The NPI number for Su Clinica Corinth LLC is 1154299147. It was assigned to this organization in the NPPES registry on October 29, 2025.
Where is Su Clinica Corinth LLC located?
Su Clinica Corinth LLC is located at 504 S Tate St, Corinth, MS 38834. The listed phone number is (662) 415-9425.
What is Su Clinica Corinth LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Su Clinica Corinth LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2335836) is associated with this NPI, valid through December 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Su Clinica Corinth LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Su Clinica Corinth Llc · NPI 1154299147
Family organization in Corinth, Mississippi. Organization record, active in the CMS NPPES registry since October 29, 2025.
## Identity
- **NPI:** 1154299147 (Entity type: Organization)
- **Enumerated:** October 29, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Maggie Macias, NP
## Practice location
- **Address:** 504 S TATE ST, Corinth, MS 38834-5532
- **Phone:** (662) 415-9425
## Record status
- **NPPES last updated:** November 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154299147) · Data from the CMS NPPES public registry.