WOODLAND CLINIC LLC
NPI 1629282330
Family Medicine - Hospice and Palliative Medicine in Woodland, MS
About Woodland Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOODLAND CLINIC LLC (NPI 1629282330) is a healthcare organization registered as a hospice and palliative medicine in Woodland, Mississippi and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through April 16, 2028 and lists Jerry Sullivan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
Group Practice 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)
Woodland Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Woodland Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 for Provider-Performed Microscopy Procedures (PPMP) 25D0944715
Woodland Clinic LLC · Woodland, 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 Woodland Clinic LLC's NPI number?
The NPI number for Woodland Clinic LLC is 1629282330. It was assigned to this organization in the NPPES registry on May 10, 2007.
Where is Woodland Clinic LLC located?
Woodland Clinic LLC is located at 120 Market St, Woodland, MS 39776. The listed phone number is (662) 456-0111.
What is Woodland Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.
Is Woodland Clinic LLC enrolled in Medicare?
Yes. Woodland Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Woodland Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Woodland Clinic LLC, in General Practice and Nurse Practitioner. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Woodland Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0944715) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Woodland Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Woodland Clinic LLC 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 Woodland Clinic LLC was last updated on January 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Woodland Clinic Llc · NPI 1629282330
Hospice and Palliative Medicine organization in Woodland, Mississippi. Organization record, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1629282330 (Entity type: Organization)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Family Medicine - Hospice and Palliative Medicine · taxonomy 207QH0002X
- **Organization subpart:** No
- **Authorized official:** Jerry Sullivan, OWNER
## Practice location
- **Address:** 120 MARKET ST, Woodland, MS 39776-9104
- **Phone:** (662) 456-0111 · **Fax:** (662) 456-7335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), General Practice (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2011
- **Other identifiers:** Medicare OSCAR/certification 258937 (MS); Medicare UPIN C48284 (MS); Medicare UPIN S69279 (MS); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629282330) · Data from the CMS NPPES public registry.