QUALITY MEDICAL CLINIC, INC.
NPI 1720497936
Internal Medicine in Columbia, MS
About Quality Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUALITY MEDICAL CLINIC, INC. (NPI 1720497936) is a healthcare organization registered as an internal medicine in Columbia, Mississippi and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Victor O Anazia, Authorized Agent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Quality Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Quality Medical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 25D1074696
Quality Medical Clinic Inc · Columbia, 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 Quality Medical Clinic, Inc.'s NPI number?
The NPI number for Quality Medical Clinic, Inc. is 1720497936. It was assigned to this organization in the NPPES registry on August 13, 2014.
Where is Quality Medical Clinic, Inc. located?
Quality Medical Clinic, Inc. is located at 1212 Broad St, Columbia, MS 39429. The listed phone number is (601) 444-9266.
What is Quality Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Quality Medical Clinic, Inc. enrolled in Medicare?
Yes. Quality Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Quality Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Quality Medical Clinic, Inc., in Family Practice, Internal Medicine 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Quality Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1074696) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Quality Medical Clinic, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Quality Medical Clinic, 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 Quality Medical Clinic, Inc. was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Quality Medical Clinic, Inc. · NPI 1720497936
Internal Medicine organization in Columbia, Mississippi. Organization record, active in the CMS NPPES registry since August 13, 2014.
## Identity
- **NPI:** 1720497936 (Entity type: Organization)
- **Enumerated:** August 13, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Victor Anazia, AUTHORIZED AGENT
## Practice location
- **Address:** 1212 BROAD ST, Columbia, MS 39429-3114
- **Phone:** (601) 444-9266 · **Fax:** (601) 444-9267
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720497936) · Data from the CMS NPPES public registry.