NORTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Medicare Clinicians for NPI 1699468686
Emergency Medicine in Clarksdale, MS

Active since May 26, 2023
1970 HOSPITAL DR, CLARKSDALE, MS 38614(662) 627-3211(662) 624-3214 Get Directions

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2023, Nov 9, 2023, May 26, 2023 (3 updates tracked since 2023).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Northwest Mississippi Regional Medical Center in Clarksdale, MS bills Medicare for 29 clinicians across 12 Medicare specialties. The largest specialties are Emergency Medicine with 5, Nurse Practitioner with 5 and Obstetrics/Gynecology with 4. Of these, 3 practice at this address and 10 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

29Clinicians
12Medicare specialties
29PECOS enrolled
23Accept Medicare
29 clinicians in 12 specialties

Emergency Medicine (5)

Emergency Medicine
NPI 1518353705
830 S GLOSTER ST
Tupelo, MS 38801
(888) 731-7611
✔ PECOS✔ Accepts Medicare105 mi
Emergency Medicine
NPI 1023113735
700 ARBOR RUN
Brandon, MS 39047
(601) 480-3270
✔ PECOS✔ Accepts Medicare126 mi
Emergency Medicine
NPI 1104868827
1225 N STATE ST
Jackson, MS 39202
(601) 982-6001
✔ PECOS✔ Accepts Medicare131 mi
Emergency Medicine
NPI 1366616856
5665 NEW NORTHSIDE DR NW
Atlanta, GA 30328
(770) 874-5400
✔ PECOS✔ Accepts Medicare352 mi
Emergency Medicine
NPI 1134133556
222 S HERLONG AVE
Rock Hill, SC 29732
(803) 324-1950
✔ PECOS✔ Accepts Medicare544 mi

Nurse Practitioner (5)

Nurse Practitioner
NPI 1841953080
1970 HOSPITAL DR
Clarksdale, MS 38614
(662) 624-3580
✔ PECOS✔ Accepts MedicareSame address
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
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 (4)

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
Obstetrics/Gynecology
NPI 1366438772
401 SOUTHCREST CIR STE 104
Southaven, MS 38671
(662) 349-1112
✔ PECOS62 mi
Obstetrics/Gynecology
NPI 1730590258
701 MEDICAL PARK DR
Hartsville, SC 29550
(843) 383-2764
✔ PECOS598 mi

General Surgery (3)

General Surgery
NPI 1649213455
785 OHIO AVE STE 3G
Clarksdale, MS 38614
(662) 624-5026
✔ PECOS✔ Accepts Medicare0.4 mi
General Surgery
NPI 1295754075
460 W OAK ST STE 601
El Dorado, AR 71730
(870) 863-2515
✔ PECOS✔ Accepts Medicare140 mi
General Surgery
NPI 1174596548
10981 HIGHWAY 63
Licking, MO 65542
(417) 399-4707
✔ PECOS✔ Accepts Medicare237 mi

Certified Registered Nurse Anesthetist (CRNA) (2)

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

Family Practice (2)

Family Practice
NPI 1346268786
1212 BROAD ST
Columbia, MS 39429
(601) 444-9266
✔ PECOS208 mi
Family Practice
NPI 1992850036
505 GOPHER DR
Tomah, WI 54660
(608) 372-4111
✔ PECOS✔ Accepts Medicare674 mi

Orthopedic Surgery (2)

Orthopedic Surgery
NPI 1659330090
785 OHIO AVE STE 1H
Clarksdale, MS 38614
(662) 621-2438
✔ PECOS0.4 mi
Orthopedic Surgery
NPI 1033346168
204 8TH ST
Greenwood, MS 38930
(662) 453-0504
✔ PECOS✔ Accepts Medicare51 mi

Pediatric Medicine (2)

Pediatric Medicine
NPI 1639757909
2100 US-61 N
Vicksburg, MS 39183
(601) 883-5000
✔ PECOS127 mi
Pediatric Medicine
NPI 1124474598
1926 W HARRISON ST
Chicago, IL 60612
(312) 391-3443
✔ PECOS552 mi

Certified Nurse Midwife (CNM) (1)

Certified Nurse Midwife (CNM)
NPI 1407595614
2000 N STATE ST
Clarksdale, MS 38614
(662) 627-7361
✔ PECOS✔ Accepts Medicare0.2 mi

Internal Medicine (1)

Internal Medicine
NPI 1114256260
969 LAKELAND DR
Jackson, MS 39216
(601) 200-4644
✔ PECOS✔ Accepts Medicare130 mi

Sleep Medicine (1)

Sleep Medicine
NPI 1114921806
785 OHIO AVE STE 3E
Clarksdale, MS 38614
(662) 351-0702
✔ PECOS✔ Accepts Medicare0.4 mi

Urology (1)

Urology
NPI 1407887391
907 E SUNFLOWER RD SUITE 103
Cleveland, MS 38732
(662) 846-9990
✔ PECOS✔ Accepts Medicare33 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Northwest Mississippi Regional Medical Center appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.