CASSIDY BAYOU MEDICAL CLINIC
NPI 1376181990
Family Medicine in Sumner, MS
About Cassidy Bayou Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASSIDY BAYOU MEDICAL CLINIC (NPI 1376181990) is a healthcare organization registered as a family medicine in Sumner, Mississippi and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Sonja Bush Pennington, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 25D2052350
Cassidy Bayou Medical Clinic · Sumner, 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 Cassidy Bayou Medical Clinic's NPI number?
The NPI number for Cassidy Bayou Medical Clinic is 1376181990. It was assigned to this organization in the NPPES registry on December 13, 2019.
Where is Cassidy Bayou Medical Clinic located?
Cassidy Bayou Medical Clinic is located at 2372 Us 49-E, Sumner, MS 38957. The listed phone number is (662) 375-9310.
What is Cassidy Bayou Medical Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Cassidy Bayou Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2052350) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cassidy Bayou Medical Clinic 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 Cassidy Bayou Medical Clinic 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 Cassidy Bayou Medical Clinic was last updated on April 27, 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.
# Cassidy Bayou Medical Clinic · NPI 1376181990
Family Medicine organization in Sumner, Mississippi. Organization record, active in the CMS NPPES registry since December 13, 2019.
## Identity
- **NPI:** 1376181990 (Entity type: Organization)
- **Enumerated:** December 13, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sonja Pennington, PROVIDER/OWNER
## Practice location
- **Address:** 2372 US 49-E, Sumner, MS 38957
- **Phone:** (662) 375-9310
## Record status
- **NPPES last updated:** April 27, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376181990) · Data from the CMS NPPES public registry.