SOUTHWEST MS NEPHROLOGY, PLLC
NPI 1396894234
Internal Medicine - Nephrology in Brookhaven, MS
About Southwest Ms Nephrology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWEST MS NEPHROLOGY, PLLC (NPI 1396894234) is a healthcare organization registered as a nephrology in Brookhaven, Mississippi and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Richard Eric Miller, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwest Ms Nephrology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southwest Ms Nephrology, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 25D0319975
Southwest Mississippi Nephrology, PLLC · Brookhaven, MSFrequently 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 Southwest Ms Nephrology, PLLC's NPI number?
The NPI number for Southwest Ms Nephrology, PLLC is 1396894234. It was assigned to this organization in the NPPES registry on January 9, 2007.
Where is Southwest Ms Nephrology, PLLC located?
Southwest Ms Nephrology, PLLC is located at 513C Brookman Dr, Brookhaven, MS 39601. The listed phone number is (601) 833-3822.
What is Southwest Ms Nephrology, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Southwest Ms Nephrology, PLLC enrolled in Medicare?
Yes. Southwest Ms Nephrology, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southwest Ms Nephrology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southwest Ms Nephrology, PLLC, in Nephrology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southwest Ms Nephrology, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0319975) is associated with this NPI, valid through December 22, 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 Southwest Ms Nephrology, PLLC was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southwest Ms Nephrology, Pllc · NPI 1396894234
Nephrology organization in Brookhaven, Mississippi. Organization record, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1396894234 (Entity type: Organization)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Richard Miller, PARTNER
## Practice location
- **Address:** 513C BROOKMAN DR, Brookhaven, MS 39601-2326
- **Phone:** (601) 833-3822 · **Fax:** (601) 835-4330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Nephrology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2023
- **Other identifiers:** Medicaid 08059229 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396894234) · Data from the CMS NPPES public registry.