ENDOSCOPY CENTER OF NORTH MISSISSIPPI,LLC
NPI 1356359632
Clinic/Center - Ambulatory Surgical in Oxford, MS

Active since August 03, 2006CLIA 25D1107592 · Waiver
1206 OFFICE PARK DR, OXFORD, MS 38655(662) 236-1768(662) 236-9898 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Mar 10, 2025, Mar 26, 2018 (3 updates tracked since 2018).

About Endoscopy Center Of North Mississippi,llc NPPES

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

ENDOSCOPY CENTER OF NORTH MISSISSIPPI,LLC (NPI 1356359632) is a healthcare organization registered as an ambulatory surgical in Oxford, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 8, 2027 and lists Kristina Materna, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1356359632
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDOSCOPY CENTER OF NORTH MISSISSIPPI,LLC
Location Address1206 OFFICE PARK DROxford, MS 38655-3597
Mailing AddressPo Box 381468Germantown, TN 38183-1468
Fax(662) 236-9898
Organization SubpartNo
Authorized OfficialKristina MaternaDirector, Credentialing · (901) 377-8219
Enumeration DateAugust 3, 2006
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1356359632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1206 OFFICE PARK DR, Oxford, MS 38655

Other Identifiers 1

Medicaid00770518MS

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 25D1107592

Endoscopy Center Of North Mississippi · Oxford, MS
Active · expires Nov 8, 2027
CLIA Number25D1107592
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorJohn H. Webb MD
Laboratory Phone(662) 236-1768
Laboratory LocationEndoscopy Center Of North Mississippi1206 Office Park Drive, Oxford, MS 38655
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
664 services662 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
405 services395 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
405 services403 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
216 services215 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
179 services179 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
138 services136 patients

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 Endoscopy Center Of North Mississippi,llc's NPI number?

The NPI number for Endoscopy Center Of North Mississippi,llc is 1356359632. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Endoscopy Center Of North Mississippi,llc located?

Endoscopy Center Of North Mississippi,llc is located at 1206 Office Park Dr, Oxford, MS 38655. The listed phone number is (662) 236-1768.

What is Endoscopy Center Of North Mississippi,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Endoscopy Center Of North Mississippi,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1107592) is associated with this NPI, valid through November 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Endoscopy Center Of North Mississippi,llc 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 Endoscopy Center Of North Mississippi,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 Endoscopy Center Of North Mississippi,llc was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.