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BENNDALE ELEMENTARY SCHOOL
NPI 1376973057
Student in an Organized Health Care Education/Training Program in Lucedale, MS

Active since November 18, 2013CLIA 25D2069441 · Waiver
5204 HIGHWAY 26 W, LUCEDALE, MS 39452(601) 766-6341(601) 945-2938 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benndale Elementary School NPPES

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

BENNDALE ELEMENTARY SCHOOL (NPI 1376973057) is a healthcare organization registered as a student in an organized health care education/training program in Lucedale, Mississippi and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Jodi Theresa Sumrall, School Nurse, as its authorized official.

NPPES Registry Identity

NPI1376973057
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameBENNDALE ELEMENTARY SCHOOL
Location Address5204 HIGHWAY 26 WLucedale, MS 39452-2383
Mailing Address5204 Highway 26 WLucedale, MS 39452-2383 · (601) 766-6341 · Fax (601) 945-2938
Phone(601) 766-6341
Fax(601) 945-2938
Organization SubpartNo
Authorized OfficialJodi Theresa SumrallSchool Nurse · (601) 947-6993
Enumeration DateNovember 18, 2013
✔ NPI 1376973057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MS · R872149
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5204 HIGHWAY 26 W, Lucedale, MS 39452
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 25D2069441

Benndale Elementary · Lucedale, MS
Active · expires Aug 4, 2027
CLIA Number25D2069441
Laboratory TypeSchool/Student Health Service
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorCourtney Burns
Laboratory Phone(601) 206-0098
Laboratory LocationBenndale Elementary5204 Hwy 26 West, Lucedale, MS 39452
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL FAMILY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5204 HIGHWAY 26 W
LUCEDALE, MS 39452
George County (228) 374-2494

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 Benndale Elementary School's NPI number?

The NPI number for Benndale Elementary School is 1376973057. It was assigned to this organization in the NPPES registry on November 18, 2013.

Where is Benndale Elementary School located?

Benndale Elementary School is located at 5204 Highway 26 W, Lucedale, MS 39452. The listed phone number is (601) 766-6341.

What is Benndale Elementary School's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Does Benndale Elementary School hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2069441) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Benndale Elementary School was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.