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SKY INTEGRATIVE MEDICAL CENTER
NPI 1235845892
Clinic/Center - Health Service in Ridgeland, MS

Active since January 26, 2023CLIA 25D2275834 · Waiver
408 FONTAINE PL STE 104, RIDGELAND, MS 39157(601) 617-7717(601) 398-0381 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sky Integrative Medical Center NPPES

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

SKY INTEGRATIVE MEDICAL CENTER (NPI 1235845892) is a healthcare organization registered as a health service in Ridgeland, Mississippi and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Shamekia Bennett, Manager, as its authorized official.

NPPES Registry Identity

NPI1235845892
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSKY INTEGRATIVE MEDICAL CENTER
Location Address408 FONTAINE PL STE 104Ridgeland, MS 39157-5189
Mailing Address408 Fontaine Pl Ste 104Ridgeland, MS 39157-5189 · (601) 617-7717 · Fax (601) 398-0381
Phone(601) 617-7717
Fax(601) 398-0381
Organization SubpartNo
Authorized OfficialShamekia BennettManager · (601) 617-7717
Enumeration DateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1235845892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
408 FONTAINE PL STE 104, Ridgeland, MS 39157
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Other Identifiers 1

Medicaid06454351MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D2275834

Sky Integrative Medical Center · Ridgeland, MS
Active · expires Jan 29, 2027
CLIA Number25D2275834
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorAlisha Mcarthur Wilkes
Laboratory Phone(601) 617-7177
Laboratory LocationSky Integrative Medical Center408 Fontaine Pl Ste 104, Ridgeland, MS 39157
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 Sky Integrative Medical Center's NPI number?

The NPI number for Sky Integrative Medical Center is 1235845892. It was assigned to this organization in the NPPES registry on January 26, 2023.

Where is Sky Integrative Medical Center located?

Sky Integrative Medical Center is located at 408 Fontaine Pl Ste 104, Ridgeland, MS 39157. The listed phone number is (601) 617-7717.

What is Sky Integrative Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Sky Integrative Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2275834) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sky Integrative Medical Center 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 1 other insurer list Sky Integrative Medical Center 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 Sky Integrative Medical Center was last updated on January 26, 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.