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L C TENNIN JR. MD
NPI 1275543597
Internal Medicine in Canton, MS

Active since August 09, 2006PECOS EnrolledCLIA 25D2012662 · Waiver
122 E ACADEMY ST, CANTON, MS 39046(601) 859-8992(601) 859-5573 Get Directions Write a Review

NPPES record last updated: April 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About L C Tennin Jr. Md NPPES

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

L C TENNIN JR. MD (NPI 1275543597) is an individual internal medicine provider in Canton, Mississippi, licensed in Mississippi (09432) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through September 7, 2026.

NPPES Registry Identity

NPI1275543597
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameL C TENNIN JR.Credential: MD
Location Address122 E ACADEMY STCanton, MS 39046-4502
Mailing Address122 E Academy StCanton, MS 39046-4502 · (601) 859-8992 · Fax (601) 859-5573
Phone(601) 859-8992
Fax(601) 859-5573
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateApril 27, 2019
✔ NPI 1275543597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 09432
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
122 E ACADEMY ST, Canton, MS 39046
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Other Identifiers 1

Medicaid00011031MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

L C Tennin Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 25D2012662

L C Tennin, Jr, MD, PA · Canton, MS
Active · expires Sep 7, 2026
CLIA Number25D2012662
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorL C. Tennin Jr
Laboratory Phone(601) 859-8992
Laboratory LocationL C Tennin, Jr, MD, PA122 East Academy, Canton, MS 39046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers81 claims172 services$5.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers46 claims55 services$1.04 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims357 services$2.76 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier25 claims350 services$4.63 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers37 claims13,674 services$0.27 avg. paid by Medicare
Walker, with trunk support, adjustable or fixed height, any type E0140
DME-Other DME · category DE000N
1 supplier12 claims12 services$16.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HICKS GYNECOLOGY PC
Obstetrics & Gynecology
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 421-5211
DEVETTA HARRIS
Nurse Practitioner (Family)
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-8998
DEVOTED NURSING CARE
Clinic/Center
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-8992
L.C. TENNIN, JR M.D., P.A.
Internal Medicine
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-8992
MRS. KATINA GRANT FNP-C
Nurse Practitioner (Primary Care)
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-8992

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 L C Tennin's NPI number?

The NPI number for L C Tennin is 1275543597. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is L C Tennin located?

L C Tennin practices at 122 E Academy St, Canton, MS 39046. The listed phone number is (601) 859-8992.

What is L C Tennin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is L C Tennin enrolled in Medicare?

Yes. L C Tennin is registered in the Medicare PECOS enrollment system.

Does L C Tennin hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2012662) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does L C Tennin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list L C Tennin 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 L C Tennin was last updated on April 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.