COMMUNITY MEDICAL CENTER
NPI 1194734913
Clinic/Center - Rural Health in Lucedale, MS
About Community Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY MEDICAL CENTER (NPI 1194734913) is a healthcare organization registered as a rural health in Lucedale, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Susan Rutledge, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 3
Group Practice 1
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)
Community Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by January 31, 2027
This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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.
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to Community Medical Center, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 44Source: 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 25D0672385
Community Medical Center Lab · Lucedale, 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 Community Medical Center's NPI number?
The NPI number for Community Medical Center is 1194734913. It was assigned to this organization in the NPPES registry on August 8, 2006.
Where is Community Medical Center located?
Community Medical Center is located at 92 W Ratliff Street, Lucedale, MS 39452. The listed phone number is (601) 947-8181.
What is Community Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Community Medical Center enrolled in Medicare?
Yes. Community Medical Center is registered in the Medicare PECOS enrollment system.
When is Community Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Community Medical Center holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by January 31, 2027 (Part A, Mississippi, Rural Health Clinic). 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 Community Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 7 Medicare specialties reassign their Medicare billing to Community Medical Center. 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 (22), Family Practice (12) and Internal Medicine (4). Of these, 15 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Community Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0672385) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Community Medical Center 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 Community Medical Center 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 Community Medical Center was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Community Medical Center · NPI 1194734913
Rural Health organization in Lucedale, Mississippi. Organization record, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1194734913 (Entity type: Organization)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Susan Rutledge, BILLING MANAGER
## Practice location
- **Address:** 92 W RATLIFF STREET, Lucedale, MS 39452-6537
- **Phone:** (601) 947-8181 · **Fax:** (601) 947-4411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Part A, Mississippi, Rural Health Clinic), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 44 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (22), Family Practice (12), Internal Medicine (4); 15 practice at this address and 23 within 10 miles; [full list](https://npiprofile.com/npi/1194734913/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2020
- **Other identifiers:** Other C00960 (MS); Medicaid 09013891 (MS); Other CN0018 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194734913) · Data from the CMS NPPES public registry.