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MCMEDICAL COUNTRY CLINIC LLC
NPI 1760035232
Clinic/Center - Health Service in Carrollton, MS

Active since July 23, 2019CLIA 25D2306259 · Waiver
19441 HIGHWAY 82, CARROLLTON, MS 38917(662) 595-4114(662) 595-4117 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2020, Jul 23, 2019 (2 updates tracked since 2019).

About Mcmedical Country Clinic Llc NPPES

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

MCMEDICAL COUNTRY CLINIC LLC (NPI 1760035232) is a healthcare organization registered as a health service in Carrollton, Mississippi and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Jessica Pamplin, Vp, Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1760035232
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMCMEDICAL COUNTRY CLINIC LLC
Location Address19441 HIGHWAY 82Carrollton, MS 38917-7079
Mailing Address19441 Highway 82Carrollton, MS 38917-7079 · (662) 595-4114 · Fax (662) 595-4117
Phone(662) 595-4114
Fax(662) 595-4117
Organization SubpartNo
Authorized OfficialJessica PamplinVp, Revenue Cycle Mgmt · (601) 714-1025
Enumeration DateJuly 23, 2019
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1760035232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
19441 HIGHWAY 82, Carrollton, MS 38917
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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 25D2306259

Mcmedical Country Clinic · Carrollton, MS
Active · expires Jun 12, 2028
CLIA Number25D2306259
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorCarol Mccrimmon
Laboratory Phone(662) 595-4114
Laboratory LocationMcmedical Country Clinic19441 Hwy 82, Carrollton, MS 38917
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL SUZANNE MCCRIMMON FNP-C
Nurse Practitioner
19441 HIGHWAY 82
CARROLLTON, MS 38917
Carroll County (662) 595-4114

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 Mcmedical Country Clinic LLC's NPI number?

The NPI number for Mcmedical Country Clinic LLC is 1760035232. It was assigned to this organization in the NPPES registry on July 23, 2019.

Where is Mcmedical Country Clinic LLC located?

Mcmedical Country Clinic LLC is located at 19441 Highway 82, Carrollton, MS 38917. The listed phone number is (662) 595-4114.

What is Mcmedical Country Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Mcmedical Country Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2306259) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mcmedical Country Clinic LLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.