COLUMBUS OBGYN SPECIALTY CENTER PLLC
NPI 1366532038
Obstetrics & Gynecology in Columbus, MS
About Columbus Obgyn Specialty Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLUMBUS OBGYN SPECIALTY CENTER PLLC (NPI 1366532038) is a healthcare organization registered as an obstetrics & gynecology in Columbus, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through June 7, 2028 and lists Gregory Wayne Childrey, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Columbus Obgyn Specialty Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Columbus Obgyn Specialty Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 for Provider-Performed Microscopy Procedures (PPMP) 25D1026559
Columbus Ob-Gyn Specialty Center PLLC · Columbus, 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 Columbus Obgyn Specialty Center PLLC's NPI number?
The NPI number for Columbus Obgyn Specialty Center PLLC is 1366532038. It was assigned to this organization in the NPPES registry on October 13, 2006.
Where is Columbus Obgyn Specialty Center PLLC located?
Columbus Obgyn Specialty Center PLLC is located at 425 Hospital Dr Suite 5, Columbus, MS 39705. The listed phone number is (662) 240-0095.
What is Columbus Obgyn Specialty Center PLLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Columbus Obgyn Specialty Center PLLC enrolled in Medicare?
Yes. Columbus Obgyn Specialty Center PLLC is registered in the Medicare PECOS enrollment system.
When is Columbus Obgyn Specialty Center PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Columbus Obgyn Specialty Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Columbus Obgyn Specialty Center PLLC, in Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Columbus Obgyn Specialty Center PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D1026559) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Columbus Obgyn Specialty Center PLLC accept?
Health plans from Molina Healthcare list Columbus Obgyn Specialty Center PLLC 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 Columbus Obgyn Specialty Center PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Columbus Obgyn Specialty Center Pllc · NPI 1366532038
Obstetrics & Gynecology organization in Columbus, Mississippi. Organization record, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1366532038 (Entity type: Organization)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Gregory Childrey, MEMBER
## Practice location
- **Address:** 425 HOSPITAL DR, SUITE 5, Columbus, MS 39705-1901
- **Phone:** (662) 240-0095 · **Fax:** (662) 240-0096
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (2), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 02285027 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366532038) · Data from the CMS NPPES public registry.