CHOICE PRIMARY HEALTHCARE PLLC
NPI 1407511363
Nurse Practitioner - Family in Leakesville, MS
About Choice Primary Healthcare Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHOICE PRIMARY HEALTHCARE PLLC (NPI 1407511363) is a healthcare organization registered as a family in Leakesville, Mississippi and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Cynthia Winette Denmark, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Choice Primary Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Choice Primary Healthcare PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 25D2047374
Choice Primary Healthcare, PLLC · Leakesville, 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 Choice Primary Healthcare PLLC's NPI number?
The NPI number for Choice Primary Healthcare PLLC is 1407511363. It was assigned to this organization in the NPPES registry on November 5, 2021.
Where is Choice Primary Healthcare PLLC located?
Choice Primary Healthcare PLLC is located at 413A Saint Francis St, Leakesville, MS 39451. The listed phone number is (601) 791-7001.
What is Choice Primary Healthcare PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Choice Primary Healthcare PLLC enrolled in Medicare?
Yes. Choice Primary Healthcare PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Choice Primary Healthcare PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Choice Primary Healthcare PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Choice Primary Healthcare PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2047374) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Choice Primary Healthcare PLLC accept?
Health plans from Molina Healthcare list Choice Primary Healthcare 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 Choice Primary Healthcare PLLC was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Choice Primary Healthcare Pllc · NPI 1407511363
Family organization in Leakesville, Mississippi. Organization record, active in the CMS NPPES registry since November 5, 2021.
## Identity
- **NPI:** 1407511363 (Entity type: Organization)
- **Enumerated:** November 5, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Cynthia Denmark, PROVIDER/OWNER
## Practice location
- **Address:** 413A SAINT FRANCIS ST, Leakesville, MS 39451-8909
- **Phone:** (601) 791-7001 · **Fax:** (601) 791-7016
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2026
- **Other identifiers:** Medicaid 03625746 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407511363) · Data from the CMS NPPES public registry.