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: November 01, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Water Valley Walk In Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

38

Medicare enrollment records show 38 clinicians reassign Medicare billing to Water Valley Walk In Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner11
Diagnostic Radiology7
Cardiovascular Disease (Cardiology)5
Interventional Cardiology4
Family Practice3
Internal Medicine3
Cardiac Electrophysiology1
Chiropractic1
3 other specialties3

Nearest to this location (20)

See all 38
Chiropractic
NPI 1912184441
606 SOUTH MAIN
Water Valley, MS 38965
(662) 473-5280
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285033571
604 S MAIN ST
Water Valley, MS 38965
(662) 473-5242
✔ PECOSSame address
Nurse Practitioner
NPI 1548828882
604 S MAIN ST
Water Valley, MS 38965
(662) 473-1311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457419707
604 SOUTH MAIN STREET
Water Valley, MS 38965
(662) 473-1311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033581665
604 S MAIN ST
Water Valley, MS 38965
(662) 473-5242
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114980042
604 S MAIN ST
Water Valley, MS 38965
(662) 473-1311
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1972910321
604 S MAIN ST
Water Valley, MS 38965
(662) 473-1311
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1679341630
2222 JACKSON AVE W
Oxford, MS 38655
(662) 380-5560
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1275789935
14101 HICKORY STREET
Oakland, MS 38948
(662) 623-7319
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1669826111
2704 W OXFORD LOOP STE 114A
Oxford, MS 38655
(662) 371-8051
✔ PECOS✔ Accepts Medicare17 mi
Emergency Medicine
NPI 1699745133
1300 ACCESS RD SUITE 300
Oxford, MS 38655
(662) 232-8005
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1215760079
3222 COUNTY ROAD 55
Tillatoba, MS 38961
(662) 647-1698
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1003205857
100 BAPTIST MEMORIAL CIR STE 201
Oxford, MS 38655
(901) 271-1000
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1215021001
101 RICKY D BRITT SR BLVD
Oxford, MS 38655
(662) 236-5442
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1831446806
705 SISK AVE
Oxford, MS 38655
(662) 371-1326
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1063092724
171 DR TT LEWIS CIR
Charleston, MS 38921
(662) 647-5535
✔ PECOS✔ Accepts Medicare28 mi
Psychiatry
NPI 1154477453
152 HIGHWAY 7 S
Oxford, MS 38655
(662) 488-8878
✔ PECOS✔ Accepts Medicare38 mi
Diagnostic Radiology
NPI 1073775466
1801 MARTIN LUTHER KING JR DR
Helena, AR 72342
(662) 588-9914
✔ PECOS✔ Accepts Medicare62 mi
Diagnostic Radiology
NPI 1790720779
618 FREDERICK DR
Cleveland, MS 38732
(662) 299-2999
✔ PECOS68 mi
Diagnostic Radiology
NPI 1699798306
2500 N STATE ST
Jackson, MS 39216
(601) 984-2538
✔ PECOS✔ Accepts Medicare128 mi
See all 38 clinicians

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

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.

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.

Is Yalobusha General Hospital enrolled in Medicare?

Yes. Yalobusha General Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yalobusha General Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 11 Medicare specialties reassign their Medicare billing to Yalobusha General Hospital. 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. The largest specialties are Nurse Practitioner (11), Diagnostic Radiology (7) and Cardiovascular Disease (Cardiology) (5). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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.