MIDSOUTH MEDICINE
NPI 1194894147
Internal Medicine in Southaven, MS
About Midsouth Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDSOUTH MEDICINE (NPI 1194894147) is a healthcare organization registered as an internal medicine in Southaven, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Ciao Zheng Newman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Midsouth Medicine 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.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Midsouth Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 25D1040419
Midsouth Medicine, PC · Southaven, 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 Midsouth Medicine's NPI number?
The NPI number for Midsouth Medicine is 1194894147. It was assigned to this organization in the NPPES registry on November 6, 2006.
Where is Midsouth Medicine located?
Midsouth Medicine is located at 2149 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 342-1112.
What is Midsouth Medicine's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Midsouth Medicine enrolled in Medicare?
Yes. Midsouth Medicine is registered in the Medicare PECOS enrollment system.
When is Midsouth Medicine's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) 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 Midsouth Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Midsouth Medicine. 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 (10) and Internal Medicine (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Midsouth Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1040419) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Midsouth Medicine accept?
Health plans from Cigna Healthcare list Midsouth Medicine 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 Midsouth Medicine was last updated on April 12, 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.
# Midsouth Medicine · NPI 1194894147
Internal Medicine organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since November 6, 2006.
## Identity
- **NPI:** 1194894147 (Entity type: Organization)
- **Enumerated:** November 6, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Ciao Newman, PRESIDENT
## Practice location
- **Address:** 2149 STATELINE RD W, Southaven, MS 38671-1222
- **Phone:** (662) 342-1112 · **Fax:** (662) 342-1116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Internal Medicine (1); 2 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2023
- **Other identifiers:** Medicaid 02207004 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194894147) · Data from the CMS NPPES public registry.