CASSIDY BAYOU MEDICAL CLINIC
NPI 1376181990
Family Medicine in Sumner, MS

Q: 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.

Q: What is Cassidy Bayou Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 13, 2019

2372 US 49-E, SUMNER, MS 38957(662) 375-9310 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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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 lists Sonja Bush Pennington, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1376181990

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCASSIDY BAYOU MEDICAL CLINIC

Location Address2372 US 49-ESumner, MS 38957

Mailing AddressPo Box 240Sumner, MS 38957-0240 · (662) 375-9310 · Fax (662) 375-9311

Phone(662) 375-9310

Organization SubpartNo

Authorized OfficialSonja Bush PenningtonProvider/owner · (662) 375-2363

Enumeration DateDecember 13, 2019

Last NPPES UpdateApril 27, 2020

NPPES CertifiedApril 27, 2020

✔ NPI 1376181990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2372 US 49-E, Sumner, MS 38957

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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)

Cassidy Bayou Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cassidy Bayou Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sonja Pennington, CNP

Nurse Practitioner

NPI 1386180610

2372 US-49E UNIT 240
Sumner, MS 38957

(662) 375-9310

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

Is Cassidy Bayou Medical Clinic enrolled in Medicare?

Yes. Cassidy Bayou Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cassidy Bayou Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Cassidy Bayou Medical Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cassidy Bayou Medical Clinic accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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.