YALOBUSHA MEDICAL CLINIC, LLC
NPI 1295090009
Clinic/Center - Primary Care in Water Valley, MS
About Yalobusha Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YALOBUSHA MEDICAL CLINIC, LLC (NPI 1295090009) is a healthcare organization registered as a primary care in Water Valley, Mississippi and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Cinnamon Foster, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Yalobusha Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Yalobusha Medical Clinic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 25D2044245
Yalobusha Medical Clinic, LLC · Water Valley, MSFrequently 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 Yalobusha Medical Clinic, LLC's NPI number?
The NPI number for Yalobusha Medical Clinic, LLC is 1295090009. It was assigned to this organization in the NPPES registry on July 8, 2012.
Where is Yalobusha Medical Clinic, LLC located?
Yalobusha Medical Clinic, LLC is located at 712 S Main St, Water Valley, MS 38965. The listed phone number is (662) 473-1140.
What is Yalobusha Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Yalobusha Medical Clinic, LLC enrolled in Medicare?
Yes. Yalobusha Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Yalobusha Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Yalobusha Medical Clinic, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Yalobusha Medical Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2044245) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Yalobusha Medical Clinic, LLC accept?
Health plans from Molina Healthcare list Yalobusha Medical Clinic, LLC 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 Yalobusha Medical Clinic, LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Yalobusha Medical Clinic, Llc · NPI 1295090009
Primary Care organization in Water Valley, Mississippi. Organization record, active in the CMS NPPES registry since July 8, 2012.
## Identity
- **NPI:** 1295090009 (Entity type: Organization)
- **Enumerated:** July 8, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Cinnamon Foster, SOLE MEMBER
## Practice location
- **Address:** 712 S MAIN ST, Water Valley, MS 38965-3334
- **Phone:** (662) 473-1140 · **Fax:** (662) 473-1138
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2022
- **Other identifiers:** Other 1659607232
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295090009) · Data from the CMS NPPES public registry.