OCHSNER HEALTH CENTER-QUITMAN
NPI 1164773438
Clinic/Center - Rural Health in Quitman, MS

Active since September 27, 2012CLIA 25D0686314 · Waiver
603 S ARCHUSA AVE, QUITMAN, MS 39355(601) 776-2123(601) 776-6006 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 21, 2022, Apr 19, 2022, Feb 28, 2018 and 2 more (5 updates tracked since 2017).

About Ochsner Health Center-quitman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCHSNER HEALTH CENTER-QUITMAN (NPI 1164773438) is a healthcare organization registered as a rural health in Quitman, Mississippi and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Don Larkin Kennedy, Regional Ceo, as its authorized official.

NPPES Registry Identity

NPI1164773438
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRUSH MEDICAL FOUNDATION
Location Address603 S ARCHUSA AVEQuitman, MS 39355-2331
Mailing AddressDept 3027, P O Box 1000Memphis, TN 38148-3027 · (601) 213-3010 · Fax (601) 213-3011
Fax(601) 776-6006
Organization SubpartNo
Authorized OfficialDon Larkin KennedyRegional Ceo · (601) 703-9614
Enumeration DateSeptember 27, 2012
Last NPPES UpdateApril 26, 20235 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1164773438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
603 S ARCHUSA AVE, Quitman, MS 39355

Other Names 1

Doing Business AsOchsner Health Center-quitman

Other Identifiers 1

Medicaid009016210MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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)

Ochsner Health Center-quitman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20130122000008Part A · Rural Health ClinicDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

93

Medicare enrollment records show 93 clinicians reassign Medicare billing to Ochsner Health Center-Quitman, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner49
Family Practice15
Internal Medicine8
Certified Registered Nurse Anesthetist (CRNA)6
Emergency Medicine5
General Surgery3
Certified Nurse Midwife (CNM)2
Marriage and Family Therapist1
4 other specialties4

Nearest to this location (20)

See all 93
Nurse Practitioner
NPI 1740589761
603 S ARCHUSA AVE
Quitman, MS 39355
(601) 776-2123
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1962664870
603 S ARCHUSA AVE
Quitman, MS 39355
(601) 776-2123
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003045410
605 S ARCHUSA AVE
Quitman, MS 39355
(601) 776-6925
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104452887
109 E DONALD ST STE 3
Quitman, MS 39355
(601) 830-5757
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1871261289
38 LAKE EDDINS 1638
Pachuta, MS 39347
(601) 479-0017
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1376363531
6905 HIGHWAY 145 S
Meridian, MS 39301
(601) 282-3271
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1629701149
905C S FRONTAGE RD
Meridian, MS 39301
(601) 482-4955
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1801284633
905C S FRONTAGE RD
Meridian, MS 39301
(601) 482-4955
✔ PECOS22 mi
Internal Medicine
NPI 1275695694
905C S FRONTAGE RD
Meridian, MS 39301
(601) 486-4210
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1407206139
905C S FRONTAGE RD
Meridian, MS 39301
(601) 486-4210
✔ PECOS✔ Accepts Medicare22 mi
Certified Nurse Midwife (CNM)
NPI 1568444024
905C S FRONTAGE RD
Meridian, MS 39301
(601) 486-4210
✔ PECOS✔ Accepts Medicare22 mi
Emergency Medicine
NPI 1922044502
2121 5TH ST SUITE 202
Meridian, MS 39301
(601) 286-3410
✔ PECOS✔ Accepts Medicare23 mi
Obstetrics/Gynecology
NPI 1720060551
1800 12TH ST
Meridian, MS 39301
(601) 703-9222
✔ PECOS✔ Accepts Medicare23 mi
General Surgery
NPI 1518382472
1800 12TH ST
Meridian, MS 39301
(601) 484-6700
✔ PECOS✔ Accepts Medicare23 mi
General Surgery
NPI 1689815664
1800 12TH ST 3RD FLOOR
Meridian, MS 39301
(601) 703-9970
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1760904304
1314 19TH AVE
Meridian, MS 39301
(601) 703-3018
✔ PECOS✔ Accepts Medicare23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699757872
1314 19TH AVE
Meridian, MS 39301
(601) 703-9687
✔ PECOS✔ Accepts Medicare23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740269984
1314 19TH AVE
Meridian, MS 39301
(601) 703-9687
✔ PECOS✔ Accepts Medicare23 mi
Pain Management
NPI 1710935671
1314 19TH AVE
Meridian, MS 39301
(601) 703-4362
✔ PECOS✔ Accepts Medicare23 mi
Pulmonary Disease
NPI 1003893652
1600 22ND AVE MEDICAL TOWERS III
Meridian, MS 39301
(601) 483-5322
✔ PECOS✔ Accepts Medicare23 mi
See all 93 clinicians

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 25D0686314

Ochsner Health Center - Quitman · Quitman, MS
Active · expires Jan 31, 2027
CLIA Number25D0686314
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorLeeann Kitchens
Laboratory Phone(601) 776-2123
Laboratory LocationOchsner Health Center - Quitman603 South Archusa, Quitman, MS 39355
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rush Medical Foundation's NPI number?

The NPI number for Rush Medical Foundation is 1164773438. It was assigned to this organization in the NPPES registry on September 27, 2012. The provider is doing business as Ochsner Health Center-Quitman.

Where is Rush Medical Foundation located?

Rush Medical Foundation is located at 603 S Archusa Ave, Quitman, MS 39355. The listed phone number is (601) 776-2123.

What is Rush Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Rush Medical Foundation enrolled in Medicare?

Yes. Rush Medical Foundation is registered in the Medicare PECOS enrollment system.

When is Rush Medical Foundation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Mississippi, Rural Health Clinic) is due for revalidation by February 28, 2027. 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 Rush Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 93 clinicians in 12 Medicare specialties reassign their Medicare billing to Rush Medical Foundation. 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 (49), Family Practice (15) and Internal Medicine (8). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rush Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0686314) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rush Medical Foundation accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Rush Medical Foundation 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 Rush Medical Foundation was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.