RED WATER SATELLITE CLINIC
NPI 1275611543
Clinic/Center - Public Health, Federal in Carthage, MS
About Red Water Satellite Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RED WATER SATELLITE CLINIC (NPI 1275611543) is a healthcare organization registered as a public health, federal in Carthage, Mississippi and active in the NPI registry since November 2006. The organization lists Phyllis J Anderson, Tribal Chief, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Red Water Satellite Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
71Medicare enrollment records show 71 clinicians reassign Medicare billing to Red Water Satellite Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 71Choctaw, MS 39350
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mississippi Band Of Choctaw Indians's NPI number?
The NPI number for Mississippi Band Of Choctaw Indians is 1275611543. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Red Water Satellite Clinic.
Where is Mississippi Band Of Choctaw Indians located?
Mississippi Band Of Choctaw Indians is located at 1930 N Pearl St, Carthage, MS 39051. The listed phone number is (601) 656-2211.
What is Mississippi Band Of Choctaw Indians's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.
Is Mississippi Band Of Choctaw Indians enrolled in Medicare?
Yes. Mississippi Band Of Choctaw Indians is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mississippi Band Of Choctaw Indians?
According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 19 Medicare specialties reassign their Medicare billing to Mississippi Band Of Choctaw Indians. 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 (25), Family Practice (14) and Emergency Medicine (6). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mississippi Band Of Choctaw Indians was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Red Water Satellite Clinic · NPI 1275611543
Public Health, Federal organization in Carthage, Mississippi. Organization record, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1275611543 (Entity type: Organization)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Clinic/Center - Public Health, Federal · taxonomy 261QP0904X
- **Legal business name:** Mississippi Band Of Choctaw Indians
- **Organization subpart:** Yes (part of Mississippi Band Of Choctaw Indians)
- **Authorized official:** Phyllis Anderson, TRIBAL CHIEF
## Practice location
- **Address:** 1930 N PEARL ST, Carthage, MS 39051-8220
- **Phone:** (601) 656-2211 · **Fax:** (601) 663-7721
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 71 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (25), Family Practice (14), Emergency Medicine (6); 1 practice at this address; [full list](https://npiprofile.com/npi/1275611543/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2012
- **Other identifiers:** Medicare PIN TEZ040 (TX); Medicare OSCAR/certification 250127 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1275611543) · Data from the CMS NPPES public registry.