MT. PLEASANT FAMILY HEALTH CLINIC
NPI 1386792992
Clinic/Center - Federally Qualified Health Center (FQHC) in Mt. Pleasant, MS

Active since January 08, 2007CLIA 25D0884513 · Waiver
154 MT. PLEASANT ROAD, MT. PLEASANT, MS 38649(662) 851-7939(662) 851-9053 Get Directions Write a Review

NPPES record last updated: November 17, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mt. Pleasant Family Health Clinic NPPES

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

MT. PLEASANT FAMILY HEALTH CLINIC (NPI 1386792992) is a healthcare organization registered as a federally qualified health center (fqhc) in Mt. Pleasant, Mississippi and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Marjorie P. Mckinney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1386792992
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST MISSISSIPPI HEALTH CARE, INC.
Location Address154 MT. PLEASANT ROADMt. Pleasant, MS 38649
Mailing Address12 East Brunswick Ave., P.o. Box 698Byhalia, MS 38611 · (662) 851-7939 · Fax (662) 851-9053
Fax(662) 851-9053
Organization SubpartNo
Authorized OfficialMarjorie P. MckinneyExecutive Director · (662) 838-2163
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 17, 2010
✔ NPI 1386792992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
154 MT. PLEASANT ROAD, Mt. Pleasant, MS 38649

Other Names 1

Doing Business AsMt. Pleasant Family Health Clinic

Other Identifiers 2

Medicare OSCAR/certification251848MS
Medicaid9015490MS

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)

Mt. Pleasant Family Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Mt. Pleasant Family Health Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Dentist1
Internal Medicine1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1770587388
12 EAST BRUNSWICK
Byhalia, MS 38611
(662) 838-2163
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1841560927
12 E BRUNSWICK ST
Byhalia, MS 38611
(615) 425-4200
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1033648803
12 BRUNSWICK ST
Byhalia, MS 38611
(662) 838-2163
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1700274016
12 E BRUNSWICK ST
Byhalia, MS 38611
(901) 728-5858
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1851276596
12 BRUNSWICK ST
Byhalia, MS 38611
(662) 822-8089
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1376754077
12 E. BRUNSWICK
Byhalia, MS 38611
(662) 838-2163
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1952032393
12 BRUNSWICK ST
Byhalia, MS 38611
(662) 838-2163
✔ PECOS✔ Accepts Medicare11 mi
Dentist
NPI 1124869193
8947 COLLEGE ST
Olive Branch, MS 38654
(662) 895-0100
✔ PECOS17 mi
Nurse Practitioner
NPI 1336764778
3548 HERBERT CV
Southaven, MS 38672
(662) 910-9423
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1558761668
7165 SWINNEA RD BLDG B2
Southaven, MS 38671
(662) 253-8302
✔ PECOS✔ Accepts Medicare25 mi

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 25D0884513

Mt Pleasant Family Health Clinic · Mount Pleasant, MS
Active · expires Mar 31, 2028
CLIA Number25D0884513
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorDr. Clifton Rodgers
Laboratory Phone(662) 851-7939
Laboratory LocationMt Pleasant Family Health Clinic154 Mt Pleasant Road, Mount Pleasant, MS 38649
CLIA data matches this NPI record on: Name Phone
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 Northeast Mississippi Health Care, Inc.'s NPI number?

The NPI number for Northeast Mississippi Health Care, Inc. is 1386792992. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Mt. Pleasant Family Health Clinic.

Where is Northeast Mississippi Health Care, Inc. located?

Northeast Mississippi Health Care, Inc. is located at 154 Mt. Pleasant Road, Mt. Pleasant, MS 38649. The listed phone number is (662) 851-7939.

What is Northeast Mississippi Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Northeast Mississippi Health Care, Inc. enrolled in Medicare?

Yes. Northeast Mississippi Health Care, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Mississippi Health Care, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Northeast Mississippi Health Care, Inc.. 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 (8), Dentist (1) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northeast Mississippi Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0884513) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Mississippi Health Care, Inc. 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 Northeast Mississippi Health Care, Inc. 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 Northeast Mississippi Health Care, Inc. was last updated on November 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.