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MIDSOUTH INTEGRATIVE MEDICAL, INC
NPI 1568089993
Clinic/Center - Primary Care in Southaven, MS

Active since July 01, 2020CLIA Certified · 2 labs
7651 TCHULAHOMA RD, SOUTHAVEN, MS 38671(662) 349-0980(662) 349-0980 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Jul 1, 2020 (2 updates tracked since 2020).

About Midsouth Integrative Medical, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDSOUTH INTEGRATIVE MEDICAL, INC (NPI 1568089993) is a healthcare organization registered as a primary care in Southaven, Mississippi and active in the NPI registry since July 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Hernando, and lists Meagan Chastant-qualls, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1568089993
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMIDSOUTH INTEGRATIVE MEDICAL, INC
Location Address7651 TCHULAHOMA RDSouthaven, MS 38671-9227
Mailing Address7651 Tchulahoma RdSouthaven, MS 38671-9227 · (662) 349-0980 · Fax (662) 349-0980
Phone(662) 349-0980
Fax(662) 349-0980
Organization SubpartNo
Authorized OfficialMeagan Chastant-quallsNurse Practitioner · (662) 349-0980
Enumeration DateJuly 1, 2020
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1568089993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
7651 TCHULAHOMA RD, Southaven, MS 38671
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Secondary Practice Location 1

Location 11973 Oak Tree CvHernando, MS 38632-1536 · Phone (662) 349-0980

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 2

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 25D2186887

Midsouth Integrative Medical Inc · Southaven, MS
Active · expires Jun 22, 2028
CLIA Number25D2186887
Laboratory TypePractitioner Other
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorMeagan Chastant-Qualls
Laboratory Phone(662) 349-0980
Laboratory LocationMidsouth Integrative Medical Inc7651 Tchulahoma Rd Ste #2, 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.

Certificate of Waiver 25D2311167

Midsouth Integrative Medical · Hernando, MS
Active · expires Sep 16, 2026
CLIA Number25D2311167
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorMeagan Chastant Qualls
Laboratory Phone(662) 349-0980
Laboratory LocationMidsouth Integrative Medical1973 Oak Tree Cove, Hernando, MS 38632
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. TREVOR LAMAR QUALLS D.C.
Chiropractor
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-0980
DR. TYLER LANE QUALLS D.C.
Chiropractor
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-0980
MEAGAN DUVAL CHASTANT-QUALLS FNP
Family Medicine
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-0980
MISSISSIPPI UPPER CERVICAL CLINIC, INC
Chiropractor
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-0980

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 Midsouth Integrative Medical, Inc's NPI number?

The NPI number for Midsouth Integrative Medical, Inc is 1568089993. It was assigned to this organization in the NPPES registry on July 1, 2020.

Where is Midsouth Integrative Medical, Inc located?

Midsouth Integrative Medical, Inc is located at 7651 Tchulahoma Rd, Southaven, MS 38671. The listed phone number is (662) 349-0980.

What is Midsouth Integrative Medical, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Midsouth Integrative Medical, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Midsouth Integrative Medical, Inc 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 list Midsouth Integrative Medical, Inc 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 Midsouth Integrative Medical, Inc was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.