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MIDSOUTH MEDICINE
NPI 1194894147
Internal Medicine in Southaven, MS

Active since November 06, 2006CLIA 25D1040419 · Waiver
2149 STATELINE RD W, SOUTHAVEN, MS 38671(662) 342-1112(662) 342-1116 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1194894147
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIDSOUTH MEDICINE
Location Address2149 STATELINE RD WSouthaven, MS 38671-1222
Mailing Address2149 Stateline Rd WSouthaven, MS 38671-1222 · (662) 342-1112 · Fax (662) 342-1116
Phone(662) 342-1112
Fax(662) 342-1116
Organization SubpartNo
Authorized OfficialCiao Zheng NewmanPresident · (662) 342-1112
Enumeration DateNovember 6, 2006
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1194894147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 18647
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2149 STATELINE RD W, Southaven, MS 38671
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Other Identifiers 1

Medicaid02207004MS

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

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, MS
Active · expires May 8, 2027
CLIA Number25D1040419
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorCiao Z. Newman
Laboratory Phone(662) 772-5000
Laboratory LocationMidsouth Medicine, PC2149 Stateline Road West, Southaven, MS 38671
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MS. SHERLEAN D SHUGARS NP
Nurse Practitioner (Family)
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
LANA COOPER FNP-C
Nurse Practitioner (Family)
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
MRS. GWENDOLYN PITCOCK SHIRLEY FNP
Nurse Practitioner (Family)
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
DAWN WEBB FNP
Nurse Practitioner (Family)
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
MRS. JENNIFER HARRIS
Nurse Practitioner (Family)
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
DR. CIAO Z NEWMAN M.D.
Internal Medicine
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112

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 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.

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.

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.