EAST MISSISSIPPI MEDICAL CLINIC
NPI 1497096036
Clinic/Center - Primary Care in Newton, MS
About East Mississippi Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST MISSISSIPPI MEDICAL CLINIC (NPI 1497096036) is a healthcare organization registered as a primary care in Newton, Mississippi and active in the NPI registry since March 2013. The organization lists Razee Ameir Ahmad, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Mississippi Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to East Mississippi Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 East Mississippi Medical Clinic's NPI number?
The NPI number for East Mississippi Medical Clinic is 1497096036. It was assigned to this organization in the NPPES registry on March 6, 2013.
Where is East Mississippi Medical Clinic located?
East Mississippi Medical Clinic is located at 9425 Eastside Drive Ext Suit A, Newton, MS 39345. The listed phone number is (601) 635-3333.
What is East Mississippi Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is East Mississippi Medical Clinic enrolled in Medicare?
Yes. East Mississippi Medical Clinic is registered in the Medicare PECOS enrollment system.
When is East Mississippi Medical Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through East Mississippi Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to East Mississippi Medical Clinic. 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 Nurse Practitioner (7) and Internal Medicine (3). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Mississippi Medical Clinic accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list East Mississippi Medical Clinic 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 East Mississippi Medical Clinic was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# East Mississippi Medical Clinic · NPI 1497096036
Primary Care organization in Newton, Mississippi. Organization record, active in the CMS NPPES registry since March 6, 2013.
## Identity
- **NPI:** 1497096036 (Entity type: Organization)
- **Enumerated:** March 6, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Razee Ahmad, OWNER
## Practice location
- **Address:** 9425 EASTSIDE DRIVE EXT, SUIT A, Newton, MS 39345-8068
- **Phone:** (601) 635-3333 · **Fax:** (601) 653-3330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (3); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2013
- **Other identifiers:** Medicaid 04278332 (MS); Medicare UPIN G10490 (MS); Medicare PIN 930003616 (MS); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1497096036) · Data from the CMS NPPES public registry.