NORTHWEST MISS REGIONAL MEDICAL CENTER
NPI 1598458515
Internal Medicine in Clarksdale, MS

Active since May 26, 2023CLIA 25D2118552 · Waiver
1970 HOSPITAL DR, CLARKSDALE, MS 38614(662) 627-3211(662) 624-3413 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 5, 2023, Nov 9, 2023, Jun 8, 2023 and 1 more (4 updates tracked since 2023).

About Northwest Miss Regional Medical Center NPPES

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

NORTHWEST MISS REGIONAL MEDICAL CENTER (NPI 1598458515), doing business as Nwmrmc Opt Clinics, is a healthcare organization registered as an internal medicine in Clarksdale, Mississippi and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through September 9, 2028, maintains 4 additional practice locations, and lists Lorie Till, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598458515
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHWEST MISS REGIONAL MEDICAL CENTER
Location Address1970 HOSPITAL DRClarksdale, MS 38614-7202
Mailing AddressPo Box 1218Clarksdale, MS 38614-1218 · (662) 627-3211 · Fax (662) 624-3214
Fax(662) 624-3413
Organization SubpartNo
Authorized OfficialLorie TillCeo · (662) 624-3480
Enumeration DateMay 26, 2023
Last NPPES UpdateJanuary 21, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1598458515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
1970 HOSPITAL DR, Clarksdale, MS 38614

Other Names 1

Doing Business AsNwmrmc Opt Clinics

Secondary Practice Locations 4

Location 1785 Ohio Ave Ste 1HClarksdale, MS 38614-6213 · Phone (662) 621-2438 · Fax (662) 621-2469
Location 2785 Ohio Ave Ste 1GClarksdale, MS 38614-6213 · Phone (662) 627-2509 · Fax (662) 627-2420
Location 3785 Ohio Ave Ste 3GClarksdale, MS 38614-6215 · Phone (662) 624-5026 · Fax (662) 624-5028
Location 4785 Ohio Ave Ste 1FClarksdale, MS 38614-6213 · Phone (662) 627-2509 · Fax (662) 627-2420

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Miss Regional Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Northwest Miss Regional Medical Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Emergency Medicine5
Nurse Practitioner5
Obstetrics/Gynecology4
General Surgery3
Certified Registered Nurse Anesthetist (CRNA)2
Family Practice2
Orthopedic Surgery2
Pediatric Medicine2
4 other specialties4

Nearest to this location (20)

See all 29
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346294550
1970 HOSPITAL DR
Clarksdale, MS 38614
(662) 624-3534
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770646077
1970 HOSPITAL DR
Clarksdale, MS 38614
(662) 627-3211
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841953080
1970 HOSPITAL DR
Clarksdale, MS 38614
(662) 624-3580
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1407595614
2000 N STATE ST
Clarksdale, MS 38614
(662) 627-7361
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1730104928
2000 N STATE ST
Clarksdale, MS 38614
(662) 627-7361
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1861488215
2000 N STATE ST
Clarksdale, MS 38614
(662) 627-7361
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1649213455
785 OHIO AVE STE 3G
Clarksdale, MS 38614
(662) 624-5026
✔ PECOS✔ Accepts Medicare0.4 mi
Sleep Medicine
NPI 1114921806
785 OHIO AVE STE 3E
Clarksdale, MS 38614
(662) 351-0702
✔ PECOS✔ Accepts Medicare0.4 mi
Orthopedic Surgery
NPI 1659330090
785 OHIO AVE STE 1H
Clarksdale, MS 38614
(662) 621-2438
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1821877754
1216 BERRYHILL TRAILER PARK
Lyon, MS 38645
(662) 645-1516
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1073113304
2372 US49-E
Sumner, MS 38957
(662) 375-9310
✔ PECOS✔ Accepts Medicare17 mi
Urology
NPI 1407887391
907 E SUNFLOWER RD SUITE 103
Cleveland, MS 38732
(662) 846-9990
✔ PECOS✔ Accepts Medicare33 mi
Orthopedic Surgery
NPI 1033346168
204 8TH ST
Greenwood, MS 38930
(662) 453-0504
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1447324272
401 CATCHINGS AVE
Indianola, MS 38751
(662) 887-2494
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1215195631
1204 MEDICAL PARK DR
Oxford, MS 38655
(662) 236-5717
✔ PECOS✔ Accepts Medicare60 mi
Obstetrics/Gynecology
NPI 1366438772
401 SOUTHCREST CIR STE 104
Southaven, MS 38671
(662) 349-1112
✔ PECOS62 mi
Emergency Medicine
NPI 1518353705
830 S GLOSTER ST
Tupelo, MS 38801
(888) 731-7611
✔ PECOS✔ Accepts Medicare105 mi
Pediatric Medicine
NPI 1639757909
2100 US-61 N
Vicksburg, MS 39183
(601) 883-5000
✔ PECOS127 mi
Internal Medicine
NPI 1114256260
969 LAKELAND DR
Jackson, MS 39216
(601) 200-4644
✔ PECOS✔ Accepts Medicare130 mi
General Surgery
NPI 1295754075
460 W OAK ST STE 601
El Dorado, AR 71730
(870) 863-2515
✔ PECOS✔ Accepts Medicare140 mi
See all 29 clinicians

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 25D2118552

Northwest Miss Regional Medical Center Outpatient Clinic · Clarksdale, MS
Active · expires Sep 9, 2028
CLIA Number25D2118552
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2026
Certificate Expiration DateSeptember 9, 2028
Laboratory DirectorGinger Coats
Laboratory Phone(662) 627-2509
Laboratory LocationNorthwest Miss Regional Medical Center Outpatient Clinic785 Ohio Ave Ste 1G, Clarksdale, MS 38614
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Northwest Miss Regional Medical Center's NPI number?

The NPI number for Northwest Miss Regional Medical Center is 1598458515. It was assigned to this organization in the NPPES registry on May 26, 2023. The provider is doing business as NWMRMC OPT Clinics.

Where is Northwest Miss Regional Medical Center located?

Northwest Miss Regional Medical Center is located at 1970 Hospital Dr, Clarksdale, MS 38614. The listed phone number is (662) 627-3211.

What is Northwest Miss Regional Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Northwest Miss Regional Medical Center enrolled in Medicare?

Yes. Northwest Miss Regional Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Miss Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 12 Medicare specialties reassign their Medicare billing to Northwest Miss Regional Medical Center. 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 Emergency Medicine (5), Nurse Practitioner (5) and Obstetrics/Gynecology (4). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northwest Miss Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2118552) is associated with this NPI, valid through September 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwest Miss Regional Medical Center was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.