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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CHOICE PRIMARY HEALTHCARE PLLC
NPI 1407511363
Nurse Practitioner - Family in Leakesville, MS

Active since November 05, 2021CLIA 25D2047374 · Waiver
413A SAINT FRANCIS ST, LEAKESVILLE, MS 39451(601) 791-7001(601) 791-7016 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2026, Feb 23, 2022, Nov 5, 2021 (3 updates tracked since 2021).

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

NPI1407511363
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHOICE PRIMARY HEALTHCARE PLLC
Location Address413A SAINT FRANCIS STLeakesville, MS 39451-8909
Mailing AddressPo Box 1017Leakesville, MS 39451-1017 · (601) 791-7001 · Fax (601) 791-7016
Phone(601) 791-7001
Fax(601) 791-7016
Organization SubpartNo
Authorized OfficialCynthia Winette DenmarkProvider/owner · (601) 791-7001
Enumeration DateNovember 5, 2021
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1407511363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
413A SAINT FRANCIS ST, Leakesville, MS 39451
Open in Google Maps ↗

Other Identifiers 1

Medicaid03625746MS

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 25D2047374

Choice Primary Healthcare, PLLC · Leakesville, MS
Active · expires Dec 31, 2027
CLIA Number25D2047374
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorCynthia W. Denmark
Laboratory Phone(601) 394-2913
Laboratory LocationChoice Primary Healthcare, PLLC320 Main Street, Leakesville, MS 39451
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CYNTHIA W DENMARK FNP
Nurse Practitioner (Family)
413A SAINT FRANCIS ST
LEAKESVILLE, MS 39451
Greene County (601) 791-7001

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 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.

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 with the weekly NPPES data releases published by CMS.