DEEP BLUE RETINA, PLLC
NPI 1427511880
Ophthalmology - Retina Specialist in Southaven, MS
About Deep Blue Retina, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEEP BLUE RETINA, PLLC (NPI 1427511880) is a healthcare organization registered as a retina specialist in Southaven, Mississippi and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through November 3, 2027, maintains 2 additional practice locations, and lists Jorge I Calzada, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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)
Deep Blue Retina, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Deep Blue Retina, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 25D2242140
Deep Blue Retina PLLC · Southaven, 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 Deep Blue Retina, PLLC's NPI number?
The NPI number for Deep Blue Retina, PLLC is 1427511880. It was assigned to this organization in the NPPES registry on April 11, 2019.
Where is Deep Blue Retina, PLLC located?
Deep Blue Retina, PLLC is located at 7900 Airways Blvd Bldg A1, Southaven, MS 38671. The listed phone number is (901) 522-6520.
What is Deep Blue Retina, PLLC's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Deep Blue Retina, PLLC enrolled in Medicare?
Yes. Deep Blue Retina, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deep Blue Retina, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Deep Blue Retina, 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. The largest specialties are Optometry (3) and Ophthalmology (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deep Blue Retina, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2242140) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Deep Blue Retina, PLLC 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 Deep Blue Retina, 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 Deep Blue Retina, PLLC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Deep Blue Retina, Pllc · NPI 1427511880
Retina Specialist organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1427511880 (Entity type: Organization)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Jorge Calzada, PRESIDENT
## Practice location
- **Address:** 7900 AIRWAYS BLVD BLDG A1, Southaven, MS 38671-4116
- **Phone:** (901) 522-6520 · **Fax:** (901) 522-6521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (3), Ophthalmology (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427511880) · Data from the CMS NPPES public registry.