MISSISSIPPI RETINA ASSOCIATES,PLLC
NPI 1740357334
Ophthalmology - Retina Specialist in Madison, MS
About Mississippi Retina Associates,pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSISSIPPI RETINA ASSOCIATES,PLLC (NPI 1740357334) is a healthcare organization registered as a retina specialist in Madison, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 13, 2028 and lists Michael Jude Borne, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 2
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)
Mississippi Retina Associates,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Mississippi Retina Associates,pllc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
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 25D2272053
Mississippi Retina Associates PLLC · Madison, 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 Mississippi Retina Associates,pllc's NPI number?
The NPI number for Mississippi Retina Associates,pllc is 1740357334. It was assigned to this organization in the NPPES registry on November 29, 2006.
Where is Mississippi Retina Associates,pllc located?
Mississippi Retina Associates,pllc is located at 1026 Baptist Cir Ste 400, Madison, MS 39110. The listed phone number is (601) 981-4091.
What is Mississippi Retina Associates,pllc's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Mississippi Retina Associates,pllc enrolled in Medicare?
Yes. Mississippi Retina Associates,pllc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mississippi Retina Associates,pllc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Ophthalmology, reassign their Medicare billing to Mississippi Retina Associates,pllc. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mississippi Retina Associates,pllc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2272053) is associated with this NPI, valid through November 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mississippi Retina Associates,pllc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Mississippi Retina Associates,pllc 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 Mississippi Retina Associates,pllc was last updated on January 23, 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.
# Mississippi Retina Associates,pllc · NPI 1740357334
Retina Specialist organization in Madison, Mississippi. Organization record, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1740357334 (Entity type: Organization)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Michael Borne, PRESIDENT
## Practice location
- **Address:** 1026 BAPTIST CIR STE 400, Madison, MS 39110-2028
- **Phone:** (601) 981-4091 · **Fax:** (601) 981-5039
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
- **Other identifiers:** Other CA5305 (MS); Medicaid 09014141 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740357334) · Data from the CMS NPPES public registry.