CALHOUN COUNTY MEDICAL CLINIC
NPI 1760592182
Internal Medicine in Calhoun City, MS

NPI Status: Active since August 30, 2006

Contact Information

112 MEDICAL ARTS DR
CALHOUN CITY, MS
ZIP 38916
Phone: (662) 628-1337
Fax: (662) 628-1346

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  • Organization
  • Internal Medicine
  • CLIA Number: 25D2184204
  • CLIA Cert. Type: Other - AIR AMBULANCE
  • CLIA Exp. Date: 05-14-2026

About CALHOUN COUNTY MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Calhoun County Medical Clinic, an internist established in Calhoun City, Mississippi operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1760592182 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Calhoun County Medical Clinic. The authorized official of this NPI record is Gerald Kimbrough (Manager)

NPI
1760592182
Provider Legal Name
NORTH MISSISSIPPI MEDICAL CLINICS INC
Other Organization Name
CALHOUN COUNTY MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
112 MEDICAL ARTS DR CALHOUN CITY, MS 38916
Location Phone
(662) 628-1337
Location Fax
(662) 628-1346
Mailing Address
450 E PRESIDENT AVE TUPELO, MS 38801
Mailing Phone
(662) 377-4685
Mailing Fax
(662) 628-1346
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2006
Last Update Date
08-22-2020
Code Navigator

An internist like Calhoun County Medical Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GERALD KIMBROUGH

Authorized Official Title
MANAGER
Authorized Official Phone
(662) 377-4685

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
08109024MEDICAID (05)MS 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2184204
Facility Type
Other - AIR AMBULANCE
Certificate Effective Date
May 15, 2024
Certificate Expiration Date
May 14, 2026
Laboratory Director
BEN RICHARDS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Calhoun County Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760592182, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 0 + 9 + 4 + 1 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1760592182.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
112 MEDICAL ARTS DR
CALHOUN CITY, MS 38916
Clinic/Center (Rural Health)
112 MEDICAL ARTS DR
CALHOUN CITY, MS 38916
Family Medicine
112 MEDICAL ARTS DR
CALHOUN CITY, MS 38916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760592182, enumerated as an "organization" on August 30, 2006.

The provider is located at 112 MEDICAL ARTS DR CALHOUN CITY, MS 38916 and the phone number is (662) 628-1337.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.