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EUDORA MEDICAL CLINIC
NPI 1255043493
Family Medicine - Adult Medicine in Hernando, MS

Active since December 19, 2022CLIA 25D2274549 · Waiver
8995 W COMMERCE ST STE 4, HERNANDO, MS 38632(662) 589-6290(662) 649-6085 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2023, Mar 2, 2023, Dec 23, 2022 (3 updates tracked since 2022).

About Eudora Medical Clinic NPPES

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

EUDORA MEDICAL CLINIC (NPI 1255043493) is a healthcare organization registered as an adult medicine in Hernando, Mississippi and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Amy M. Perkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1255043493
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameEUDORA MEDICAL CENTER LLC
Location Address8995 W COMMERCE ST STE 4Hernando, MS 38632-6812
Mailing Address8995 W Commerce St Ste 4Hernando, MS 38632-6812 · (662) 589-6290 · Fax (662) 649-6085
Phone(662) 589-6290
Fax(662) 649-6085
Organization SubpartNo
Authorized OfficialAmy M. PerkinsOwner · (662) 589-6290
Enumeration DateDecember 19, 2022
Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1255043493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
8995 W COMMERCE ST STE 4, Hernando, MS 38632
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Other Names 1

Other NameEudora Medical Clinic

Other Identifiers 2

Medicaid03003882MS
Other879057MS · Ms Nursing/np License

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eudora Medical Clinic 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 Eudora Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Perkins, FNP-C
Nurse Practitioner
NPI 1487903936
8995 W COMMERCE ST STE 4
Hernando, MS 38632
(662) 589-6290
✔ PECOS✔ Accepts Medicare8.7 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 25D2274549

Eudora Medical Center, LLC · Hernando, MS
Active · expires Jan 4, 2027
CLIA Number25D2274549
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorAmy M. Perkins
Laboratory Phone(662) 589-6290
Laboratory LocationEudora Medical Center, LLC8995 W Commerce Street, Suite 104, Hernando, MS 38632
CLIA data matches this NPI record on: Name Phone
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 Eudora Medical Center LLC's NPI number?

The NPI number for Eudora Medical Center LLC is 1255043493. It was assigned to this organization in the NPPES registry on December 19, 2022. The provider is also known as Eudora Medical Clinic.

Where is Eudora Medical Center LLC located?

Eudora Medical Center LLC is located at 8995 W Commerce St Ste 4, Hernando, MS 38632. The listed phone number is (662) 589-6290.

What is Eudora Medical Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Eudora Medical Center LLC enrolled in Medicare?

Yes. Eudora Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eudora Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Eudora Medical Center 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 Eudora Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2274549) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eudora Medical Center LLC was last updated on March 6, 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.