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SOUTHWEST MS NEPHROLOGY, PLLC
NPI 1396894234
Internal Medicine - Nephrology in Brookhaven, MS

Active since January 09, 2007CLIA 25D0319975 · Waiver
513C BROOKMAN DR, BROOKHAVEN, MS 39601(601) 833-3822(601) 835-4330 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 18, 2023, Aug 22, 2020 (2 updates tracked since 2020).

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

NPI1396894234
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHWEST MS NEPHROLOGY, PLLC
Location Address513C BROOKMAN DRBrookhaven, MS 39601-2326
Mailing Address513c Brookman DrBrookhaven, MS 39601-2326 · (601) 833-3822 · Fax (601) 835-4330
Phone(601) 833-3822
Fax(601) 835-4330
Organization SubpartNo
Authorized OfficialRichard Eric MillerPartner · (601) 405-1593
Enumeration DateJanuary 9, 2007
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1396894234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
513C BROOKMAN DR, Brookhaven, MS 39601
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Other Names 1

Doing Business AsSouthwest Ms Nephrology, Pllc

Other Identifiers 1

Medicaid08059229MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D0319975

Southwest Mississippi Nephrology, PLLC · Brookhaven, MS
Active · expires Dec 22, 2027
CLIA Number25D0319975
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Paul G. Dykes
Laboratory Phone(601) 833-3822
Laboratory LocationSouthwest Mississippi Nephrology, PLLC513-C Brookman Drive, Brookhaven, MS 39601
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. HOLLY L KIMBRELL CFNP
Nurse Practitioner
513C BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 833-3822
MR. BRAXTER P IRBY JR. MD
Internal Medicine (Nephrology)
513C BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 833-3822
MR. PAUL G DYKES MD
Internal Medicine (Nephrology)
513C BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 833-3822

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 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.

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.

What insurance does Southwest Ms Nephrology, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Southwest Ms Nephrology, PLLC 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 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 2 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.