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COMMUNITY HEALTH CLINIC
NPI 1255376729
Clinic/Center - Rural Health in Forest, MS

Active since June 18, 2006CLIA Certified · 2 labs
505 AIRPORT RD STE B, FOREST, MS 39074(601) 469-4771(601) 469-4724 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2023, May 26, 2020 (2 updates tracked since 2020).

About Community Health Clinic NPPES

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

COMMUNITY HEALTH CLINIC (NPI 1255376729) is a healthcare organization registered as a rural health in Forest, Mississippi and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists John P Lee, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1255376729
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameINDEPENDENT HEALTHCARE MANAGEMENT, INC.
Location Address505 AIRPORT RD STE BForest, MS 39074-4033
Mailing AddressPo Box DForest, MS 39074-0558 · (601) 469-4151 · Fax (601) 469-9927
Phone(601) 469-4771
Fax(601) 469-4724
Organization SubpartNo
Authorized OfficialJohn P LeeChairman Of The Board · (601) 469-4151
Enumeration DateJune 18, 2006
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1255376729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
505 AIRPORT RD STE B, Forest, MS 39074
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity Health Clinic

Other Identifiers 1

Medicaid00126171MS

Accepted Insurance

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

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

Clinicians Billing Medicare Through This Organization

94

Medicare enrollment records show 94 clinicians reassign Medicare billing to Community Health Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner39
Emergency Medicine18
Certified Registered Nurse Anesthetist (CRNA)13
Family Practice8
Internal Medicine6
General Surgery2
Pediatric Medicine2
Anesthesiology1
5 other specialties5

Nearest to this location (20)

See all 94
John Coleman, MD
Internal Medicine
NPI 1063945475
505 AIRPORT RD STE B
Forest, MS 39074
(601) 469-4771
✔ PECOS✔ Accepts MedicareSame address
Anne Kimes, PMHNP
Nurse Practitioner
NPI 1700566213
505 AIRPORT RD
Forest, MS 39074
(601) 469-4151
✔ PECOS✔ Accepts MedicareSame address
John Lee, M.D.
Family Practice
NPI 1992806699
1 MEDICAL LN
Forest, MS 39074
(601) 469-4861
✔ PECOS✔ Accepts Medicare0.1 mi
William Lewis, M.D.
Family Practice
NPI 1346341054
1 MEDICAL LN
Forest, MS 39074
(601) 469-4861
✔ PECOS0.1 mi
Bernard Harrell, D.O.
Family Practice
NPI 1871575852
1080 HIGHWAY 35 S
Forest, MS 39074
(601) 469-3555
✔ PECOS✔ Accepts Medicare0.1 mi
Shelly Boone, CFNP
Nurse Practitioner
NPI 1750797874
526 DEERFIELD DR
Forest, MS 39074
(601) 469-0291
✔ PECOS✔ Accepts Medicare0.2 mi
Corey Shoemaker
Nurse Practitioner
NPI 1629403704
1123 HIGHWAY 35 S
Forest, MS 39074
(601) 469-4771
✔ PECOS✔ Accepts Medicare0.3 mi
Kaitlyn Flickner
Clinical Social Worker
NPI 1811682099
1129 HIGHWAY 35 S STE 1
Forest, MS 39074
(601) 469-3320
✔ PECOS✔ Accepts Medicare0.3 mi
Mary Paul, PMHNP-BC
Nurse Practitioner
NPI 1336780527
1129 HIGHWAY 35 S STE 1
Forest, MS 39074
(601) 469-3320
✔ PECOS✔ Accepts Medicare0.3 mi
Rori Bridges, FNP
Nurse Practitioner
NPI 1114170529
330 N BROAD ST
Forest, MS 39074
(601) 469-4771
✔ PECOS✔ Accepts Medicare1.0 mi
Ruth Gaddis, FNP
Nurse Practitioner
NPI 1831130715
330 N BROAD ST
Forest, MS 39074
(601) 469-4771
✔ PECOS1.0 mi
Megan Otto
Nurse Practitioner
NPI 1609323450
330 N BROAD ST
Forest, MS 39074
(601) 469-4151
✔ PECOS✔ Accepts Medicare1.0 mi
Kathryn Walker, CFNP
Nurse Practitioner
NPI 1710092986
330 N BROAD ST
Forest, MS 39074
(601) 469-4151
✔ PECOS✔ Accepts Medicare1.0 mi
Kacey Jones, NP
Nurse Practitioner
NPI 1992368799
330 N BROAD ST
Forest, MS 39074
(601) 469-4151
✔ PECOS1.0 mi
Robin Hardin, NP
Nurse Practitioner
NPI 1649762253
1 MEDICAL LN
Forest, MS 39074
(601) 469-4861
✔ PECOS✔ Accepts Medicare3.4 mi
Jena Herrington
Nurse Practitioner
NPI 1285453605
1 MEDICAL LN
Forest, MS 39074
(601) 469-3320
✔ PECOS3.4 mi
Donna Wedgeworth
Nurse Practitioner
NPI 1952865214
1 MEDICAL LN STE B
Forest, MS 39074
(601) 469-4861
✔ PECOS✔ Accepts Medicare3.4 mi
Jasmeet Kaur
Internal Medicine
NPI 1376004150
347 S FOURTH ST
Morton, MS 39117
(601) 732-1524
✔ PECOS✔ Accepts Medicare10 mi
Daniel Walker, NP
Nurse Practitioner
NPI 1740615814
347 S FOURTH ST
Morton, MS 39117
(601) 732-1524
✔ PECOS✔ Accepts Medicare10 mi
Mohammad Arain, MD
Pediatric Medicine
NPI 1114909199
208 S MAIN ST
Newton, MS 39345
(601) 683-0279
✔ PECOS19 mi
See all 94 clinicians

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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 25D0317511

Community Health Clinic · Forest, MS
Active · expires Aug 31, 2028
CLIA Number25D0317511
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. John P. Lee
Laboratory Phone(601) 469-4771
Laboratory LocationCommunity Health Clinic505 Airport Rd Ste B, Forest, MS 39074
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 25D0317509

Community Health Clinic · Forest, MS
Active · expires Apr 18, 2028
CLIA Number25D0317509
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorDr. Bernard G. Harrell
Laboratory Phone(601) 469-4771
Laboratory LocationCommunity Health Clinic505 Airport Rd Ste B, Forest, MS 39074
CLIA data matches this NPI record on: Address 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 Independent Healthcare Management, Inc.'s NPI number?

The NPI number for Independent Healthcare Management, Inc. is 1255376729. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider is doing business as Community Health Clinic.

Where is Independent Healthcare Management, Inc. located?

Independent Healthcare Management, Inc. is located at 505 Airport Rd Ste B, Forest, MS 39074. The listed phone number is (601) 469-4771.

What is Independent Healthcare Management, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Independent Healthcare Management, Inc. enrolled in Medicare?

Yes. Independent Healthcare Management, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Independent Healthcare Management, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 94 clinicians in 13 Medicare specialties reassign their Medicare billing to Independent Healthcare Management, Inc.. 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. The largest specialties are Nurse Practitioner (39), Emergency Medicine (18) and Certified Registered Nurse Anesthetist (CRNA) (13). Of these, 2 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Independent Healthcare Management, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Independent Healthcare Management, Inc. accept?

Health plans from Cigna Healthcare, Molina Healthcare and UnitedHealthcare list Independent Healthcare Management, Inc. 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 Independent Healthcare Management, Inc. was last updated on July 17, 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.