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MIDSOUTH PATHOLOGY LABORATORIES
NPI 1750547303
Pathology - Anatomic Pathology & Clinical Pathology in Clarksdale, MS

Active since August 04, 2008CLIA 25D0959220 · Accreditation
1970 HOSPITAL DR, CLARKSDALE, MS 38614(601) 636-0097(601) 629-9969 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Midsouth Pathology Laboratories NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDSOUTH PATHOLOGY LABORATORIES (NPI 1750547303) is a healthcare organization registered as an anatomic pathology & clinical pathology in Clarksdale, Mississippi and active in the NPI registry since August 2008. The organization holds an CLIA Accreditation certificate valid through July 5, 2027 and lists Andrew Ayers Martin, President, as its authorized official.

NPPES Registry Identity

NPI1750547303
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameAYERS MARTIN ENTERPRISES LLC
Location Address1970 HOSPITAL DRClarksdale, MS 38614-7202
Mailing AddressPo Box 820662Vicksburg, MS 39182-0662 · (601) 636-0097 · Fax (601) 629-9969
Phone(601) 636-0097
Fax(601) 629-9969
Organization SubpartNo
Authorized OfficialAndrew Ayers MartinPresident · (601) 636-0097
Enumeration DateAugust 4, 2008
Last NPPES UpdateMarch 25, 2014
✔ NPI 1750547303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MS · 14355
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1970 HOSPITAL DR, Clarksdale, MS 38614
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Other Names 1

Doing Business AsMidsouth Pathology Laboratories

Other Identifiers 2

Medicaid00115777MS
Medicare PIN512G700281MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midsouth Pathology Laboratories is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20080805000069Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Midsouth Pathology Laboratories, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrew Martin, M.D.
Pathology
NPI 1154423499
1970 HOSPITAL DR
Clarksdale, MS 38614
(662) 624-3429
✔ PECOS✔ Accepts MedicareSame address

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 Accreditation 25D0959220

Ayers Martin Enterprises Dba Midsouth Pathology · Clarksdale, MS
Active · expires Jul 5, 2027
CLIA Number25D0959220
Laboratory TypeHospital
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorDr. Andrew A. Martin
Laboratory Phone(662) 624-3429
Laboratory LocationAyers Martin Enterprises Dba Midsouth Pathology140 Ritch Street, Clarksdale, MS 38614
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Ayers Martin Enterprises LLC's NPI number?

The NPI number for Ayers Martin Enterprises LLC is 1750547303. It was assigned to this organization in the NPPES registry on August 4, 2008. The provider is doing business as Midsouth Pathology Laboratories.

Where is Ayers Martin Enterprises LLC located?

Ayers Martin Enterprises LLC is located at 1970 Hospital Dr, Clarksdale, MS 38614. The listed phone number is (601) 636-0097.

What is Ayers Martin Enterprises LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Ayers Martin Enterprises LLC enrolled in Medicare?

Yes. Ayers Martin Enterprises LLC is registered in the Medicare PECOS enrollment system.

When is Ayers Martin Enterprises LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ayers Martin Enterprises LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pathology) reassigns their Medicare billing to Ayers Martin Enterprises LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ayers Martin Enterprises LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 25D0959220) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ayers Martin Enterprises LLC accept?

Health plans from Molina Healthcare and Oscar Health Plan, Inc. list Ayers Martin Enterprises 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 Ayers Martin Enterprises LLC was last updated on March 25, 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.