WADE CLINIC LLC
NPI 1225580046
Nurse Practitioner - Family in Calhoun City, MS
About Wade Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WADE CLINIC LLC (NPI 1225580046) is a healthcare organization registered as a family in Calhoun City, Mississippi and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Jennifer E Wade, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Wade Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Wade Clinic LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 25D2123235
Wade Clinic LLC · Calhoun City, 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 Wade Clinic LLC's NPI number?
The NPI number for Wade Clinic LLC is 1225580046. It was assigned to this organization in the NPPES registry on October 27, 2016.
Where is Wade Clinic LLC located?
Wade Clinic LLC is located at 206 E Taylor Ave, Calhoun City, MS 38916. The listed phone number is (662) 628-3838.
What is Wade Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Wade Clinic LLC enrolled in Medicare?
Yes. Wade Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wade Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wade Clinic LLC, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wade Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2123235) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wade Clinic 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 1 other insurer list Wade Clinic 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 Wade Clinic LLC was last updated on October 27, 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.
# Wade Clinic Llc · NPI 1225580046
Family organization in Calhoun City, Mississippi. Organization record, active in the CMS NPPES registry since October 27, 2016.
## Identity
- **NPI:** 1225580046 (Entity type: Organization)
- **Enumerated:** October 27, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Wade, OWNER/PROVIDER
## Practice location
- **Address:** 206 E TAYLOR AVE, Calhoun City, MS 38916
- **Phone:** (662) 628-3838 · **Fax:** (662) 628-3800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225580046) · Data from the CMS NPPES public registry.