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BATESVILLE MEDICAL CLINIC, LLC
NPI 1164077525
Family Medicine in Batesville, MS

Active since August 02, 2019CLIA 25D2171101 · Waiver
107 EUREKA ST STE A, BATESVILLE, MS 38606(662) 563-6000(662) 563-2200 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, May 12, 2022, Aug 2, 2019 (3 updates tracked since 2019).

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

NPI1164077525
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBATESVILLE MEDICAL CLINIC, LLC
Location Address107 EUREKA ST STE ABatesville, MS 38606-2533
Mailing AddressPo Box 395Batesville, MS 38606-0395 · (662) 563-6000 · Fax (662) 563-2200
Phone(662) 563-6000
Fax(662) 563-2200
Organization SubpartNo
Authorized OfficialMichael R HavensMedical Director/owner · (662) 563-6000
Enumeration DateAugust 2, 2019
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1164077525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
107 EUREKA ST STE A, Batesville, MS 38606
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Secondary Practice Location 1

Location 1255 Medical Center DrBatesville, MS 38606-8629 · Phone (662) 563-6000 · Fax (662) 563-0700

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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, MS
Active · expires Aug 25, 2027
CLIA Number25D2171101
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorDr. Michael R. Havens
Laboratory Phone(662) 563-6000
Laboratory LocationBatesville Medical Clinic, LLC107 Eureka Street, Suite Havens, Batesville, MS 38606
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA CALVERT FNP-C
Nurse Practitioner (Family)
107 EUREKA ST STE A
BATESVILLE, MS 38606
Panola County (662) 563-6000
BRITTANY LEIGH WIGGINS FNP-BC
Nurse Practitioner (Family)
107 EUREKA ST STE A
BATESVILLE, MS 38606
Panola County (662) 563-6000

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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 2 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.