COFFEEVILLE MEDICAL CLINIC
NPI 1639236383
Clinic/Center - Primary Care in Coffeeville, MS
About Coffeeville Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COFFEEVILLE MEDICAL CLINIC (NPI 1639236383) is a healthcare organization registered as a primary care in Coffeeville, Mississippi and active in the NPI registry since January 2007. The organization lists Terry L Varner, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coffeeville Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Coffeeville Medical Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 38Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Yalobusha General Hospital's NPI number?
The NPI number for Yalobusha General Hospital is 1639236383. It was assigned to this organization in the NPPES registry on January 2, 2007. The provider is doing business as Coffeeville Medical Clinic.
Where is Yalobusha General Hospital located?
Yalobusha General Hospital is located at 14430 Main St, Coffeeville, MS 38922. The listed phone number is (662) 675-2500.
What is Yalobusha General Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Yalobusha General Hospital enrolled in Medicare?
Yes. Yalobusha General Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Yalobusha General Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 11 Medicare specialties reassign their Medicare billing to Yalobusha General Hospital. 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 (11), Diagnostic Radiology (7) and Cardiovascular Disease (Cardiology) (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Yalobusha General Hospital was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Coffeeville Medical Clinic · NPI 1639236383
Primary Care organization in Coffeeville, Mississippi. Organization record, active in the CMS NPPES registry since January 2, 2007.
## Identity
- **NPI:** 1639236383 (Entity type: Organization)
- **Enumerated:** January 2, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Yalobusha General Hospital
- **Organization subpart:** No
- **Authorized official:** Terry Varner, ADMINISTRATOR
## Practice location
- **Address:** 14430 MAIN ST, Coffeeville, MS 38922-2590
- **Phone:** (662) 675-2500 · **Fax:** (662) 675-2501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 38 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Diagnostic Radiology (7), Cardiovascular Disease (Cardiology) (5); [full list](https://npiprofile.com/npi/1639236383/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2010
- **Other identifiers:** Medicare UPIN B31038; Medicare UPIN P96376; Medicare OSCAR/certification 500002312; and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1639236383) · Data from the CMS NPPES public registry.