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CAFFEY CLINIC LLC
NPI 1235529298
Nurse Practitioner in Senatobia, MS

Active since January 29, 2015CLIA 25D2091147 · Waiver
3297 HIGHWAY 51 S, SENATOBIA, MS 38668(662) 562-0100(662) 562-0115 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Caffey Clinic Llc NPPES

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

CAFFEY CLINIC LLC (NPI 1235529298) is a healthcare organization registered as a nurse practitioner in Senatobia, Mississippi and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Jennie Pryor, Director Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1235529298
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCAFFEY CLINIC LLC
Location Address3297 HIGHWAY 51 SSenatobia, MS 38668-2926
Mailing AddressPo Box 531Senatobia, MS 38668-0531 · (662) 562-0100 · Fax (662) 562-6518
Phone(662) 562-0100
Fax(662) 562-0115
Organization SubpartNo
Authorized OfficialJennie PryorDirector Of Health Services · (662) 562-0100
Enumeration DateJanuary 29, 2015
Last NPPES UpdateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
✔ NPI 1235529298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3297 HIGHWAY 51 S, Senatobia, MS 38668
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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)

Caffey Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Caffey Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timmy Mccoy, FNP-C
Nurse Practitioner
NPI 1427694231
303 MEDICAL CENTER DR
Batesville, MS 38606
(662) 578-4357
✔ PECOS21 mi

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 25D2091147

Caffey Clinic LLC · Senatobia, MS
Active · expires Feb 5, 2027
CLIA Number25D2091147
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorDr. Michael B. Bagwell
Laboratory Phone(662) 562-5560
Laboratory LocationCaffey Clinic LLC3297 Highway 51 S, Senatobia, MS 38668
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Caffey Clinic LLC's NPI number?

The NPI number for Caffey Clinic LLC is 1235529298. It was assigned to this organization in the NPPES registry on January 29, 2015.

Where is Caffey Clinic LLC located?

Caffey Clinic LLC is located at 3297 Highway 51 S, Senatobia, MS 38668. The listed phone number is (662) 562-0100.

What is Caffey Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Caffey Clinic LLC enrolled in Medicare?

Yes. Caffey Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Caffey Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Caffey Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Caffey Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2091147) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Caffey Clinic LLC accept?

Health plans from Cigna Healthcare list Caffey 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 Caffey Clinic LLC was last updated on November 3, 2022. 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.