MAIN STREET MEDICAL CLINIC OF SEBASTOPOL
NPI 1760778609
Clinic/Center - Rural Health in Sebastopol, MS
About Main Street Medical Clinic Of Sebastopol NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET MEDICAL CLINIC OF SEBASTOPOL (NPI 1760778609) is a healthcare organization registered as a rural health in Sebastopol, Mississippi and active in the NPI registry since June 2011. The organization lists Joseph S Mcnulty, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Main Street Medical Clinic Of Sebastopol is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
94Medicare enrollment records show 94 clinicians reassign Medicare billing to Main Street Medical Clinic Of Sebastopol, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 94Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Independent Healthcare Management, Inc.'s NPI number?
The NPI number for Independent Healthcare Management, Inc. is 1760778609. It was assigned to this organization in the NPPES registry on June 20, 2011. The provider is doing business as Main Street Medical Clinic Of Sebastopol.
Where is Independent Healthcare Management, Inc. located?
Independent Healthcare Management, Inc. is located at 17509 Hwy 21, Sebastopol, MS 39359. The listed phone number is (601) 625-9818.
What is Independent Healthcare Management, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Independent Healthcare Management, Inc. enrolled in Medicare?
Yes. Independent Healthcare Management, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Independent Healthcare Management, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 94 clinicians in 13 Medicare specialties reassign their Medicare billing to Independent Healthcare Management, Inc.. 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. The largest specialties are Nurse Practitioner (39), Emergency Medicine (18) and Certified Registered Nurse Anesthetist (CRNA) (13). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Independent Healthcare Management, Inc. accept?
Health plans from Cigna Healthcare list Independent Healthcare Management, 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 Independent Healthcare Management, Inc. was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Main Street Medical Clinic Of Sebastopol · NPI 1760778609
Rural Health organization in Sebastopol, Mississippi. Organization record, active in the CMS NPPES registry since June 20, 2011.
## Identity
- **NPI:** 1760778609 (Entity type: Organization)
- **Enumerated:** June 20, 2011
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Independent Healthcare Management, Inc.
- **Organization subpart:** No
- **Authorized official:** Joseph Mcnulty, CEO
## Practice location
- **Address:** 17509 HWY 21, Sebastopol, MS 39359-0000
- **Phone:** (601) 625-9818 · **Fax:** (601) 625-9904
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 94 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), Emergency Medicine (18), Certified Registered Nurse Anesthetist (CRNA) (13); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1760778609/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2014
- **Other identifiers:** Medicare OSCAR/certification 258569 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1760778609) · Data from the CMS NPPES public registry.