SKY INTEGRATIVE MEDICAL CENTER
NPI 1235845892
Clinic/Center - Health Service in Ridgeland, MS
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
Specialties & Licenses
Other Identifiers 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)
Sky Integrative Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Sky Integrative Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 25D2275834
Sky Integrative Medical Center · Ridgeland, 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 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.
Is Sky Integrative Medical Center enrolled in Medicare?
Yes. Sky Integrative Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sky Integrative Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Sky Integrative Medical Center. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Molina Healthcare 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.
# Sky Integrative Medical Center · NPI 1235845892
Health Service organization in Ridgeland, Mississippi. Organization record, active in the CMS NPPES registry since January 26, 2023.
## Identity
- **NPI:** 1235845892 (Entity type: Organization)
- **Enumerated:** January 26, 2023
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Shamekia Bennett, MANAGER
## Practice location
- **Address:** 408 FONTAINE PL STE 104, Ridgeland, MS 39157-5189
- **Phone:** (601) 617-7717 · **Fax:** (601) 398-0381
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2023
- **Other identifiers:** Medicaid 06454351 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235845892) · Data from the CMS NPPES public registry.