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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: November 01, 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, 2028 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
Phone(601) 849-6440
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
Open in Google Maps ↗

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

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

149 Pediatric And Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

94

Medicare enrollment records show 94 clinicians reassign Medicare billing to 149 Pediatric And Family Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner39
Emergency Medicine18
Certified Registered Nurse Anesthetist (CRNA)13
Family Practice8
Internal Medicine6
General Surgery2
Pediatric Medicine2
Anesthesiology1
5 other specialties5

Nearest to this location (20)

See all 94
Jessica Garner, CRNP
Nurse Practitioner
NPI 1982913729
300 3RD AVE SE
Magee, MS 39111
(601) 849-5070
✔ PECOS✔ Accepts Medicare0.8 mi
Frank Wade, M.D.
Family Practice
NPI 1619934940
360 SIMPSON HIGHWAY 149 SUITE 370
Magee, MS 39111
(601) 849-1530
✔ PECOS✔ Accepts Medicare1.0 mi
Nicole Hall, FNP-C
Nurse Practitioner
NPI 1700661915
376 SIMPSON HIGHWAY 149 STE 300
Magee, MS 39111
(601) 721-8985
✔ PECOS✔ Accepts Medicare4.8 mi
Pamela Hardin, NP
Nurse Practitioner
NPI 1174902134
342 MAGNOLIA DR
Raleigh, MS 39153
(601) 782-5665
✔ PECOS✔ Accepts Medicare16 mi
Jamie Rawson
Nurse Practitioner
NPI 1124662309
321 OLD HWY 13 S
Morton, MS 39117
(601) 732-8612
✔ PECOS✔ Accepts Medicare32 mi
Maggie Dawson, FNP
Nurse Practitioner
NPI 1306195565
321 HIGHWAY 13 S
Morton, MS 39117
(601) 732-8612
✔ PECOS✔ Accepts Medicare32 mi
Jasmeet Kaur
Internal Medicine
NPI 1376004150
347 S FOURTH ST
Morton, MS 39117
(601) 732-1524
✔ PECOS✔ Accepts Medicare33 mi
Kaitlyn Flickner
Clinical Social Worker
NPI 1811682099
1129 HIGHWAY 35 S STE 1
Forest, MS 39074
(601) 469-3320
✔ PECOS✔ Accepts Medicare36 mi
Bernard Harrell, D.O.
Family Practice
NPI 1871575852
1080 HIGHWAY 35 S
Forest, MS 39074
(601) 469-3555
✔ PECOS✔ Accepts Medicare36 mi
John Lee, M.D.
Family Practice
NPI 1992806699
1 MEDICAL LN
Forest, MS 39074
(601) 469-4861
✔ PECOS✔ Accepts Medicare36 mi
John Coleman, MD
Internal Medicine
NPI 1063945475
505 AIRPORT RD STE B
Forest, MS 39074
(601) 469-4771
✔ PECOS✔ Accepts Medicare36 mi
Charles Cannon, MD
Otolaryngology
NPI 1437269479
1038 RIVER OAKS DR
Flowood, MS 39232
(601) 932-5244
✔ PECOS38 mi
Emily Johnson, D.O.
Obstetrics/Gynecology
NPI 1629253950
291 E LAYFAIR DR
Flowood, MS 39232
(601) 936-9415
✔ PECOS✔ Accepts Medicare38 mi
Dennis Marcelo, M.D.
Anesthesiology
NPI 1417343559
1225 N STATE ST
Jackson, MS 39202
(601) 968-1000
✔ PECOS✔ Accepts Medicare40 mi
James Rooks, MD
General Surgery
NPI 1962451898
501 MARSHALL ST STE 500
Jackson, MS 39202
(601) 948-1411
✔ PECOS✔ Accepts Medicare40 mi
David Bartley, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255516126
971 LAKELAND DR SUITE 202
Jackson, MS 39216
(601) 362-1990
✔ PECOS✔ Accepts Medicare40 mi
Dustin Bratton, MD
Emergency Medicine
NPI 1760979884
2500 N STATE ST
Jackson, MS 39216
(601) 984-5582
✔ PECOS✔ Accepts Medicare40 mi
Stuart Britt, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093130312
2500 N STATE ST
Jackson, MS 39216
(601) 984-6441
✔ PECOS✔ Accepts Medicare40 mi
Diana Tate, M.D.
Pediatric Medicine
NPI 1659766855
2500 NORTH STATE STREET UMMC - DEPARTMENT OF PEDIATRICS
Jackson, MS 39216
(601) 815-8489
✔ PECOS40 mi
Jeremy Smitherman, MD
Interventional Pain Management
NPI 1457507055
401 BAPTIST DR STE 301A
Madison, MS 39110
(601) 891-5524
✔ PECOS✔ Accepts Medicare47 mi
See all 94 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 25D2191418

149 Pediatric And Family · Magee, MS
Active · expires Aug 25, 2028
CLIA Number25D2191418
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 26, 2026
Certificate Expiration DateAugust 25, 2028
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.

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.

Is Independent Healthcare Management Inc enrolled in Medicare?

Yes. Independent Healthcare Management Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Independent Healthcare Management Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 94 clinicians in 13 Medicare specialties reassign their Medicare billing to Independent Healthcare Management Inc. 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 (39), Emergency Medicine (18) and Certified Registered Nurse Anesthetist (CRNA) (13). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028. 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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee 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 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.