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DEEP BLUE RETINA, PLLC
NPI 1427511880
Ophthalmology - Retina Specialist in Southaven, MS

Active since April 11, 2019CLIA 25D2242140 · Waiver
7900 AIRWAYS BLVD BLDG A1, SOUTHAVEN, MS 38671(901) 522-6520(901) 522-6521 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Sep 7, 2023, May 1, 2023 and 1 more (4 updates tracked since 2019).

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

NPI1427511880
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameDEEP BLUE RETINA, PLLC
Location Address7900 AIRWAYS BLVD BLDG A1Southaven, MS 38671-4116
Mailing Address7900 Airways Blvd Bldg A1Southaven, MS 38671-4116 · (901) 522-6520 · Fax (901) 522-6521
Phone(901) 522-6520
Fax(901) 522-6521
Organization SubpartNo
Authorized OfficialJorge I CalzadaPresident · (901) 522-6520
Enumeration DateApril 11, 2019
Last NPPES UpdateDecember 1, 20254 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1427511880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
7900 AIRWAYS BLVD BLDG A1, Southaven, MS 38671
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Secondary Practice Locations 2

Location 16401 Poplar Ave Ste 251Memphis, TN 38119-4846 · Phone (901) 522-6520 · Fax (901) 522-6521
Location 2150 Cracker Barrell DrBatesville, MS 38606-3031 · Phone (662) 270-8090

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 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 25D2242140

Deep Blue Retina PLLC · Southaven, MS
Active · expires Nov 3, 2027
CLIA Number25D2242140
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorDr. Jorge Calzada
Laboratory Phone(901) 522-6520
Laboratory LocationDeep Blue Retina PLLC7900 Airways Blvd Bldg A1, Southaven, MS 38671
CLIA data matches this NPI record on: Address Name 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.

DR. TAYLOR NICOLE KEYS O.D.
Optometrist
7900 AIRWAYS BLVD BLDG A1
SOUTHAVEN, MS 38671
Desoto County (901) 228-0092
DR. JORGE I CALZADA M.D.
Ophthalmology (Retina Specialist)
7900 AIRWAYS BLVD BLDG A1
SOUTHAVEN, MS 38671
Desoto County (417) 889-2040
THE OFFICE OF BONE AND JOINT SURGERY, P.C.
Orthopaedic Surgery
7900 AIRWAYS BLVD BLDG A1
SOUTHAVEN, MS 38671
Desoto County (662) 536-2526

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 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.

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 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 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 8 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.