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BLUEHEALTH BAPTIST, LLC
NPI 1255901591
Family Medicine in Madison, MS

Active since June 29, 2021CLIA 25D2226860 · Certificate of Compliance
401 BAPTIST DR STE 110, MADISON, MS 39110(601) 664-4300 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bluehealth Baptist, Llc NPPES

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

BLUEHEALTH BAPTIST, LLC (NPI 1255901591) is a healthcare organization registered as a family medicine in Madison, Mississippi and active in the NPI registry since June 2021. The organization holds a CLIA Certificate of Compliance certificate valid through May 26, 2028 and lists Bethany Ungo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255901591
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUEHEALTH BAPTIST, LLC
Location Address401 BAPTIST DR STE 110Madison, MS 39110-2009
Mailing AddressPo Box 320339Flowood, MS 39232-0339
Phone(601) 664-4300
Organization SubpartNo
Authorized OfficialBethany UngoExecutive Director · (601) 664-4545
Enumeration DateJune 29, 2021
NPPES CertifiedJune 29, 2021
✔ NPI 1255901591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
401 BAPTIST DR STE 110, Madison, MS 39110
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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

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 Compliance 25D2226860

Bluehealth Baptist Clinic · Madison, MS
Active · expires May 26, 2028
CLIA Number25D2226860
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorDr. Rahat Bhatti
Laboratory Phone(601) 664-4300
Laboratory LocationBluehealth Baptist Clinic401 Baptist Dr Ste 110, Madison, MS 39110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Bluehealth Baptist, LLC's NPI number?

The NPI number for Bluehealth Baptist, LLC is 1255901591. It was assigned to this organization in the NPPES registry on June 29, 2021.

Where is Bluehealth Baptist, LLC located?

Bluehealth Baptist, LLC is located at 401 Baptist Dr Ste 110, Madison, MS 39110. The listed phone number is (601) 664-4300.

What is Bluehealth Baptist, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bluehealth Baptist, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2226860) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bluehealth Baptist, LLC was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.