INTERNAL MEDICINE CLINIC OF COLUMBIA, P.A.
NPI 1205858263
Clinic/Center - Rural Health in Columbia, MS

Active since July 25, 2006CLIA Certified · 2 labs
914 SUMRALL RD, COLUMBIA, MS 39429(601) 731-1470(601) 731-1474 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Internal Medicine Clinic Of Columbia, P.a. NPPES

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

INTERNAL MEDICINE CLINIC OF COLUMBIA, P.A. (NPI 1205858263) is a healthcare organization registered as a rural health in Columbia, Mississippi and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Bryan F Mccraw, President, as its authorized official.

NPPES Registry Identity

NPI1205858263
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameINTERNAL MEDICINE CLINIC OF COLUMBIA, P.A.
Location Address914 SUMRALL RDColumbia, MS 39429-2652
Mailing Address914 Sumrall RdColumbia, MS 39429-2652 · (601) 731-1470 · Fax (601) 731-1474
Fax(601) 731-1474
Organization SubpartNo
Authorized OfficialBryan F MccrawPresident · (601) 731-1470
Enumeration DateJuly 25, 2006
Last NPPES UpdateFebruary 18, 2016
NPI 1205858263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
914 SUMRALL RD, Columbia, MS 39429

Other Identifiers 2

Medicare ID-Type Unspecified258902MS · Rural Health Clinic
Medicaid09014377MS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 25D0912634

Internal Medicine Clinic Of Columbia · Columbia, MS
Active · expires Mar 6, 2028
CLIA Number25D0912634
Laboratory TypeOther
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorShan K. Smith
Laboratory Phone(601) 731-1470
Laboratory LocationInternal Medicine Clinic Of Columbia914 Sumrall Road, Columbia, MS 39429
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D0319076

Internal Medicine Clinic · Columbia, MS
Active · expires Mar 31, 2027
CLIA Number25D0319076
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Jeffrey N. Johnson
Laboratory Phone(601) 731-1470
Laboratory LocationInternal Medicine Clinic914 Sumrall Rd, Columbia, MS 39429
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
914 SUMRALL RD
COLUMBIA, MS 39429
Nurse Practitioner (Family)
914 SUMRALL RD
COLUMBIA, MS 39429
Nurse Practitioner
914 SUMRALL RD
COLUMBIA, MS 39429
Internal Medicine
914 SUMRALL RD
COLUMBIA, MS 39429

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 Internal Medicine Clinic Of Columbia, P.A.'s NPI number?

The NPI number for Internal Medicine Clinic Of Columbia, P.A. is 1205858263. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Internal Medicine Clinic Of Columbia, P.A. located?

Internal Medicine Clinic Of Columbia, P.A. is located at 914 Sumrall Rd, Columbia, MS 39429. The listed phone number is (601) 731-1470.

What is Internal Medicine Clinic Of Columbia, P.A.'s specialty?

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

Does Internal Medicine Clinic Of Columbia, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Internal Medicine Clinic Of Columbia, P.A. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Internal Medicine Clinic Of Columbia, P.A. 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 Internal Medicine Clinic Of Columbia, P.A. was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.