WATER VALLEY WALK IN CLINIC
NPI 1386024438
Nurse Practitioner in Water Valley, MS
NPI Status: Active since June 04, 2015
Contact Information
606 S MAIN ST
WATER VALLEY, MS
ZIP 38965
Phone: (662) 473-5242
Fax: (662) 473-4191
- Organization
- Nurse Practitioner
- Accepts Insurance
- CLIA Number: 25D2101534
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 09-02-2027
About WATER VALLEY WALK IN CLINIC
This page provides the complete NPI Profile along with additional information for Water Valley Walk In Clinic, a provider established in Water Valley, Mississippi operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1386024438 assigned on June 2015. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Water Valley Walk In Clinic. The authorized official of this NPI record is Stephanie Surrette Burns (Clinic Administrator)
- NPI
- 1386024438
- Provider Legal Name
- YALOBUSHA GENERAL HOSPITAL
- Other Organization Name
- WATER VALLEY WALK IN CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 606 S MAIN ST WATER VALLEY, MS 38965
- Location Phone
- (662) 473-5242
- Location Fax
- (662) 473-4191
- Mailing Address
- 606 S MAIN ST WATER VALLEY, MS 38965
- Mailing Phone
- (662) 473-5242
- Mailing Fax
- (662) 473-4191
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-04-2015
- Last Update Date
- 06-04-2015
- Code Navigator
A nurse practitioner (NP) like Water Valley Walk In Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2101534
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 03, 2025
- Certificate Expiration Date
- September 02, 2027
- Laboratory Director
- DR. PAUL ODOM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Water Valley Walk In Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1386024438, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WATER VALLEY, MS 38965
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386024438, enumerated as an "organization" on June 04, 2015.
The provider is located at 606 S MAIN ST WATER VALLEY, MS 38965 and the phone number is (662) 473-5242.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and Molina. Please consult your insurance carrier or call the provider to verify.