QUAD INTERMED COMPANY LLC
NPI 1205524261
Clinic/Center in Vicksburg, MS

Active since April 27, 2023
4204 CLAY ST, VICKSBURG, MS 39183(601) 619-7717 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Quad Intermed Company Llc NPPES

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

QUAD INTERMED COMPANY LLC (NPI 1205524261) is a healthcare organization registered as a clinic/center in Vicksburg, Mississippi and active in the NPI registry since April 2023. The organization lists Ashley Buie, Director, as its authorized official.

NPPES Registry Identity

NPI1205524261
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameQUAD INTERMED COMPANY LLC
Location Address4204 CLAY STVicksburg, MS 39183-3438
Mailing Address308 Corporate DrRidgeland, MS 39157-8803 · (601) 898-7530
Organization SubpartNo
Authorized OfficialAshley BuieDirector · (601) 898-7530
Enumeration DateApril 27, 2023
Last NPPES UpdateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1205524261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4204 CLAY ST, Vicksburg, MS 39183

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quad Intermed Company Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

49

Medicare enrollment records show 49 clinicians reassign Medicare billing to Quad Intermed Company LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice23
Nurse Practitioner21
General Practice3
Emergency Medicine1
Endocrinology1

Nearest to this location (20)

See all 49
Nurse Practitioner
NPI 1144831140
2011 HIGHWAY 61 N
Vicksburg, MS 39183
(014) 562-2776
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1083860324
2100 HIGHWAY 61 N
Vicksburg, MS 39183
(601) 883-5000
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1861758898
2100 HIGHWAY 61 N
Vicksburg, MS 39183
(601) 883-5111
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1184946170
728 CLINTON PKWY STE B
Clinton, MS 39056
(601) 200-4800
✔ PECOS✔ Accepts Medicare30 mi
Family Practice
NPI 1508398983
498 HIGHWAY 80 E
Clinton, MS 39056
(601) 924-4000
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1508236415
498 HIGHWAY 80 E STE A-B
Clinton, MS 39056
(601) 924-4000
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1356203129
7300 S SIWELL RD
Byram, MS 39272
(601) 373-1234
✔ PECOS✔ Accepts Medicare35 mi
General Practice
NPI 1902815566
7300 S SIWELL RD
Byram, MS 39272
(601) 373-1234
✔ PECOS✔ Accepts Medicare35 mi
Emergency Medicine
NPI 1023046711
1225 N STATE ST
Jackson, MS 39202
(601) 982-6001
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1275769796
1225 N STATE ST
Jackson, MS 39202
(601) 968-1700
✔ PECOS✔ Accepts Medicare38 mi
General Practice
NPI 1346285491
1225 N STATE ST
Jackson, MS 39202
(601) 936-6001
✔ PECOS✔ Accepts Medicare38 mi
Family Practice
NPI 1174904361
2500 N STATE ST
Jackson, MS 39216
(601) 984-6800
✔ PECOS✔ Accepts Medicare39 mi
Family Practice
NPI 1659456762
2500 N STATE ST
Jackson, MS 39216
(601) 815-2005
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1700983285
2500 N STATE ST
Jackson, MS 39216
(601) 984-5571
✔ PECOS✔ Accepts Medicare39 mi
Family Practice
NPI 1457513350
878 LAKELAND DR
Jackson, MS 39216
(601) 984-6800
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1326689662
970 LAKELAND DR
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts Medicare39 mi
Family Practice
NPI 1881601409
323 HWY 51
Ridgeland, MS 39157
(601) 898-9150
✔ PECOS✔ Accepts Medicare41 mi
Family Practice
NPI 1124180567
5606 OLD CANTON RD
Jackson, MS 39211
(601) 957-3333
✔ PECOS✔ Accepts Medicare42 mi
Endocrinology
NPI 1356605752
804 HIGHWAY 51
Madison, MS 39110
(601) 414-4770
✔ PECOS✔ Accepts Medicare43 mi
General Practice
NPI 1699703389
935 HIGHWAY 51
Madison, MS 39110
(601) 856-5986
✔ PECOS✔ Accepts Medicare43 mi
See all 49 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Quad Intermed Company LLC's NPI number?

The NPI number for Quad Intermed Company LLC is 1205524261. It was assigned to this organization in the NPPES registry on April 27, 2023.

Where is Quad Intermed Company LLC located?

Quad Intermed Company LLC is located at 4204 Clay St, Vicksburg, MS 39183. The listed phone number is (601) 619-7717.

What is Quad Intermed Company LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Quad Intermed Company LLC enrolled in Medicare?

Yes. Quad Intermed Company LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Quad Intermed Company LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 5 Medicare specialties reassign their Medicare billing to Quad Intermed Company LLC. 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 Family Practice (23), Nurse Practitioner (21) and General Practice (3). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Quad Intermed Company LLC 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 Quad Intermed Company 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 Quad Intermed Company LLC was last updated on June 2, 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.