MIDSOUTH INTEGRATIVE MEDICAL, INC
NPI 1568089993
Clinic/Center - Primary Care in Southaven, MS
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 a CLIA Waiver certificate valid through September 16, 2028, maintains a secondary practice location in Hernando, and lists Meagan Chastant-qualls, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Midsouth Integrative Medical, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Midsouth Integrative Medical, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 25D2311167
Midsouth Integrative Medical · Hernando, 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 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.
Is Midsouth Integrative Medical, Inc enrolled in Medicare?
Yes. Midsouth Integrative Medical, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midsouth Integrative Medical, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Midsouth Integrative Medical, Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Midsouth Integrative Medical, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2311167) is associated with this NPI, valid through September 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Midsouth Integrative Medical, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 19 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.
# Midsouth Integrative Medical, Inc · NPI 1568089993
Primary Care organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since July 1, 2020.
## Identity
- **NPI:** 1568089993 (Entity type: Organization)
- **Enumerated:** July 1, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Meagan Chastant-Qualls, NURSE PRACTITIONER
## Practice location
- **Address:** 7651 TCHULAHOMA RD, Southaven, MS 38671-9227
- **Phone:** (662) 349-0980 · **Fax:** (662) 349-0980
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1568089993) · Data from the CMS NPPES public registry.