CALHOUN MEDICAL CLINIC, LLC
NPI 1558713511
Family Medicine in Laurel, MS
About Calhoun Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALHOUN MEDICAL CLINIC, LLC (NPI 1558713511) is a healthcare organization registered as a family medicine in Laurel, Mississippi and active in the NPI registry since July 2016. The organization holds a CLIA Certificate of Compliance certificate valid through April 27, 2027 and lists Charlotte F Deloach, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Calhoun Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Calhoun Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Compliance 25D2117114
Calhoun Medical Clinic LLC · Laurel, 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 Calhoun Medical Clinic, LLC's NPI number?
The NPI number for Calhoun Medical Clinic, LLC is 1558713511. It was assigned to this organization in the NPPES registry on July 1, 2016.
Where is Calhoun Medical Clinic, LLC located?
Calhoun Medical Clinic, LLC is located at 5135 Hwy 84W, Laurel, MS 39443. The listed phone number is (601) 340-3544.
What is Calhoun Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Calhoun Medical Clinic, LLC enrolled in Medicare?
Yes. Calhoun Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Calhoun Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Calhoun Medical Clinic, LLC. 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 (6) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Calhoun Medical Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D2117114) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Calhoun Medical Clinic, LLC was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Calhoun Medical Clinic, Llc · NPI 1558713511
Family Medicine organization in Laurel, Mississippi. Organization record, active in the CMS NPPES registry since July 1, 2016.
## Identity
- **NPI:** 1558713511 (Entity type: Organization)
- **Enumerated:** July 1, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Charlotte Deloach, CFO
## Practice location
- **Address:** 5135 HWY 84W, Laurel, MS 39443
- **Phone:** (601) 340-3544 · **Fax:** (601) 651-2926
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2016
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1558713511) · Data from the CMS NPPES public registry.