149 PEDIATRIC AND FAMILY CLINIC
NPI 1316557986
Clinic/Center - Rural Health in Magee, MS

Active since August 07, 2020CLIA 25D2191418 · Waiver
376 SIMPSON HIGHWAY 149 STE 300, MAGEE, MS 39111(601) 849-6440(601) 849-1332 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2022, Sep 12, 2022, Aug 15, 2022 and 2 more (5 updates tracked since 2020).

About 149 Pediatric And Family Clinic NPPES

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

149 PEDIATRIC AND FAMILY CLINIC (NPI 1316557986) is a healthcare organization registered as a rural health in Magee, Mississippi and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists John P Lee, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1316557986
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameINDEPENDENT HEALTHCARE MANAGEMENT INC
Location Address376 SIMPSON HIGHWAY 149 STE 300Magee, MS 39111-3569
Mailing AddressPo Box DForest, MS 39074-0558 · (601) 469-4151 · Fax (601) 469-9927
Fax(601) 849-1332
Organization SubpartNo
Authorized OfficialJohn P LeeChairman Of The Board · (601) 469-4151
Enumeration DateAugust 7, 2020
Last NPPES UpdateOctober 6, 20225 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
NPI 1316557986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
376 SIMPSON HIGHWAY 149 STE 300, Magee, MS 39111

Other Names 1

Doing Business As149 Pediatric And Family Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 25D2191418

149 Pediatric And Family · Magee, MS
Active · expires Aug 25, 2026
CLIA Number25D2191418
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorDr. Frank Wade Jr
Laboratory Phone(601) 721-8985
Laboratory Location149 Pediatric And Family376 Simpson Hwy 149 Ste 300, Magee, MS 39111
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
376 SIMPSON HIGHWAY 149 STE 300
MAGEE, MS 39111

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 Independent Healthcare Management Inc's NPI number?

The NPI number for Independent Healthcare Management Inc is 1316557986. It was assigned to this organization in the NPPES registry on August 7, 2020. The provider is doing business as 149 Pediatric And Family Clinic.

Where is Independent Healthcare Management Inc located?

Independent Healthcare Management Inc is located at 376 Simpson Highway 149 Ste 300, Magee, MS 39111. The listed phone number is (601) 849-6440.

What is Independent Healthcare Management Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Independent Healthcare Management Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2191418) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Independent Healthcare Management Inc 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 1 other insurer list Independent Healthcare Management Inc 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 Independent Healthcare Management Inc was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.