MAXEM HEALTH URGENT CARE DIBERVILLE
NPI 1265991608
Clinic/Center - Urgent Care in Diberville, MS

Active since March 15, 2019CLIA 25D2166144 · Waiver
10319 DIBERVILLE BLVD, DIBERVILLE, MS 39540(228) 223-1927 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maxem Health Urgent Care Diberville NPPES

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

MAXEM HEALTH URGENT CARE DIBERVILLE (NPI 1265991608) is a healthcare organization registered as an urgent care in Diberville, Mississippi and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Brianne Nichole Whitney, Coo, as its authorized official.

NPPES Registry Identity

NPI1265991608
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMAXEM HEALTH URGENT CARE DIBERVILLE
Location Address10319 DIBERVILLE BLVDDiberville, MS 39540-2546
Mailing AddressPo Box 1248Ocean Springs, MS 39566-1248 · (228) 223-1927 · Fax (228) 382-9224
Organization SubpartNo
Authorized OfficialBrianne Nichole WhitneyCoo · (707) 319-5068
Enumeration DateMarch 15, 2019
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1265991608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
10319 DIBERVILLE BLVD, Diberville, MS 39540

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)

Maxem Health Urgent Care Diberville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Maxem Health Urgent Care Diberville, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner43
Emergency Medicine2

Nearest to this location (20)

See all 45
Nurse Practitioner
NPI 1952866295
301 FISHER ST
Keesler Afb, MS 39534
(228) 376-0402
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1215615992
1025 DIVISION ST
Biloxi, MS 39530
(228) 388-2599
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1427282060
1756 POPPS FERRY RD
Biloxi, MS 39532
(228) 865-3200
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1790347540
6615 WASHINGTON AVE
Ocean Springs, MS 39564
(228) 334-5342
✔ PECOS3.6 mi
Nurse Practitioner
NPI 1134740798
10404 TUCKER RD # LLC
Vancleave, MS 39565
(228) 354-9505
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1851524532
1514 BIENVILLE BLVD
Ocean Springs, MS 39564
(228) 382-9222
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1578128336
1514 BIENVILLE BLVD
Ocean Springs, MS 39564
(228) 382-9222
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1669775581
2113 GOVERNMENT ST STE I4
Ocean Springs, MS 39564
(228) 806-5580
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1215949896
2490 PASS RD
Biloxi, MS 39531
(228) 207-9967
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1518342963
22A DOCTORS DR
Ocean Springs, MS 39564
(228) 872-1951
✔ PECOS7.6 mi
Nurse Practitioner
NPI 1861963993
2449 SUMMERWOOD
Gulfport, MS 39507
(601) 508-7789
✔ PECOS✔ Accepts Medicare7.7 mi
Emergency Medicine
NPI 1497735039
11564 STANTON CIR
Gulfport, MS 39503
(228) 896-1016
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1972071611
15200 COMMUNITY RD
Gulfport, MS 39503
(228) 575-7120
✔ PECOS12 mi
Nurse Practitioner
NPI 1326558388
15200 COMMUNITY RD
Gulfport, MS 39503
(228) 575-7000
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1396469607
15277 CREOSOTE RD STE A
Gulfport, MS 39503
(228) 206-6255
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1467799494
12057 HIGHWAY 49 STE C
Gulfport, MS 39503
(228) 832-9385
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1669412052
4770 AMOCO DR
Moss Point, MS 39563
(228) 474-9511
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1942443403
835 THAMES AVE
Bay St Louis, MS 39520
(228) 466-4977
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1619558251
1130 FRONTAGE DR W
Wiggins, MS 39577
(601) 716-8012
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1437413770
1434 CENTRAL AVE E
Wiggins, MS 39577
(601) 928-6600
✔ PECOS✔ Accepts Medicare31 mi
See all 45 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

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 25D2166144

Maxem Health Urgent Care Diberville · Diberville, MS
Active · expires May 12, 2027
CLIA Number25D2166144
Laboratory TypeUrgent Care
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorDr. Ronnie Ali
Laboratory Phone(228) 861-1431
Laboratory LocationMaxem Health Urgent Care Diberville10319 Diberville Blvd, Diberville, MS 39540
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 Maxem Health Urgent Care Diberville's NPI number?

The NPI number for Maxem Health Urgent Care Diberville is 1265991608. It was assigned to this organization in the NPPES registry on March 15, 2019.

Where is Maxem Health Urgent Care Diberville located?

Maxem Health Urgent Care Diberville is located at 10319 Diberville Blvd, Diberville, MS 39540. The listed phone number is (228) 223-1927.

What is Maxem Health Urgent Care Diberville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Maxem Health Urgent Care Diberville enrolled in Medicare?

Yes. Maxem Health Urgent Care Diberville is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maxem Health Urgent Care Diberville?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 2 Medicare specialties reassign their Medicare billing to Maxem Health Urgent Care Diberville. 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 (43) and Emergency Medicine (2). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Maxem Health Urgent Care Diberville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2166144) is associated with this NPI, valid through May 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maxem Health Urgent Care Diberville accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Maxem Health Urgent Care Diberville 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 Maxem Health Urgent Care Diberville was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.