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WATER VALLEY WALK IN CLINIC
NPI 1386024438
Nurse Practitioner in Water Valley, MS

Active since June 04, 2015CLIA 25D2101534 · Waiver
606 S MAIN ST, WATER VALLEY, MS 38965(662) 473-5242(662) 473-4191 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Water Valley Walk In Clinic NPPES

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

WATER VALLEY WALK IN CLINIC (NPI 1386024438) is a healthcare organization registered as a nurse practitioner in Water Valley, Mississippi and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Stephanie Surrette Burns, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1386024438
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameYALOBUSHA GENERAL HOSPITAL
Location Address606 S MAIN STWater Valley, MS 38965-3468
Mailing Address606 S Main StWater Valley, MS 38965-3468 · (662) 473-5242 · Fax (662) 473-4191
Phone(662) 473-5242
Fax(662) 473-4191
Organization SubpartNo
Authorized OfficialStephanie Surrette BurnsClinic Administrator · (662) 473-5242
Enumeration DateJune 4, 2015
✔ NPI 1386024438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(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.
606 S MAIN ST, Water Valley, MS 38965
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Other Names 1

Doing Business AsWater Valley Walk In Clinic

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.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 25D2101534

Water Valley Walk-In Clinic · Water Valley, MS
Active · expires Sep 2, 2027
CLIA Number25D2101534
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorDr. Paul Odom
Laboratory Phone(662) 473-5273
Laboratory LocationWater Valley Walk-In Clinic420 North Main Street, Water Valley, MS 38965
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

FAMILY PRACTICE CLINIC OF WATER VALLEY
Family Medicine
606 S MAIN ST, 606 S MAIN ST
WATER VALLEY, MS 38965
Yalobusha County (662) 473-4050
YALOBUSHA GENERAL HOSPITAL
Chiropractor
606 S MAIN ST
WATER VALLEY, MS 38965
Yalobusha County (662) 473-5143

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 Yalobusha General Hospital's NPI number?

The NPI number for Yalobusha General Hospital is 1386024438. It was assigned to this organization in the NPPES registry on June 4, 2015. The provider is doing business as Water Valley Walk In Clinic.

Where is Yalobusha General Hospital located?

Yalobusha General Hospital is located at 606 S Main St, Water Valley, MS 38965. The listed phone number is (662) 473-5242.

What is Yalobusha General Hospital's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Yalobusha General Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2101534) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Yalobusha General Hospital accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Yalobusha General Hospital 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 Yalobusha General Hospital was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.