BATESVILLE MEDICAL CLINIC, LLC
NPI 1164077525
Family Medicine in Batesville, MS
About Batesville Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BATESVILLE MEDICAL CLINIC, LLC (NPI 1164077525) is a healthcare organization registered as a family medicine in Batesville, Mississippi and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through August 25, 2027, maintains a secondary practice location in Batesville, and lists Michael R Havens, Medical Director/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Batesville Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Batesville Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 25D2171101
Batesville Medical Clinic, LLC · Batesville, MSFrequently 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 Batesville Medical Clinic, LLC's NPI number?
The NPI number for Batesville Medical Clinic, LLC is 1164077525. It was assigned to this organization in the NPPES registry on August 2, 2019.
Where is Batesville Medical Clinic, LLC located?
Batesville Medical Clinic, LLC is located at 107 Eureka St Ste A, Batesville, MS 38606. The listed phone number is (662) 563-6000.
What is Batesville Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Batesville Medical Clinic, LLC enrolled in Medicare?
Yes. Batesville Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Batesville Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Batesville Medical Clinic, LLC. 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 Nurse Practitioner (5) and Family Practice (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Batesville Medical Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2171101) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Batesville Medical Clinic, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Batesville Medical Clinic, LLC 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 Batesville Medical Clinic, LLC was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Batesville Medical Clinic, Llc · NPI 1164077525
Family Medicine organization in Batesville, Mississippi. Organization record, active in the CMS NPPES registry since August 2, 2019.
## Identity
- **NPI:** 1164077525 (Entity type: Organization)
- **Enumerated:** August 2, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Michael Havens, MEDICAL DIRECTOR/OWNER
## Practice location
- **Address:** 107 EUREKA ST STE A, Batesville, MS 38606-2533
- **Phone:** (662) 563-6000 · **Fax:** (662) 563-2200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164077525) · Data from the CMS NPPES public registry.