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PICAYUNE URGENT CARE CLINIC, LLC
NPI 1780723502
Clinic/Center - Urgent Care in Picayune, MS

Active since February 06, 2007CLIA 25D1065676 · Waiver
422 MEMORIAL BLVD, PICAYUNE, MS 39466(601) 798-2151(601) 798-2184 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Picayune Urgent Care Clinic, Llc NPPES

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

PICAYUNE URGENT CARE CLINIC, LLC (NPI 1780723502) is a healthcare organization registered as an urgent care in Picayune, Mississippi and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Brianne Whitney, Coo, as its authorized official.

NPPES Registry Identity

NPI1780723502
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePICAYUNE URGENT CARE CLINIC, LLC
Location Address422 MEMORIAL BLVDPicayune, MS 39466-5544
Mailing Address422 Memorial BlvdPicayune, MS 39466-5544 · (601) 798-2151 · Fax (601) 798-2184
Phone(601) 798-2151
Fax(601) 798-2184
Organization SubpartNo
Authorized OfficialBrianne WhitneyCoo · (707) 319-5068
Enumeration DateFebruary 6, 2007
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1780723502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
422 MEMORIAL BLVD, Picayune, MS 39466
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Other Identifiers 1

Medicaid09921516MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D1065676

Picayune Urgent Care Clinic · Picayune, MS
Active · expires May 15, 2027
CLIA Number25D1065676
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorRonnie Ali
Laboratory Phone(601) 798-2151
Laboratory LocationPicayune Urgent Care Clinic422 Memorial Blvd, Picayune, MS 39466
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 2

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

FREDERICK JOSEPH DEBEN JR. NP
Nurse Practitioner (Family)
422 MEMORIAL BLVD
PICAYUNE, MS 39466
Pearl River County (601) 798-2151
PICAYUNE FAMILY PRACTICE CLINIC, LLC
Clinic/Center (Primary Care)
422 MEMORIAL BLVD
PICAYUNE, MS 39466
Pearl River County (601) 798-2151

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 Picayune Urgent Care Clinic, LLC's NPI number?

The NPI number for Picayune Urgent Care Clinic, LLC is 1780723502. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Picayune Urgent Care Clinic, LLC located?

Picayune Urgent Care Clinic, LLC is located at 422 Memorial Blvd, Picayune, MS 39466. The listed phone number is (601) 798-2151.

What is Picayune Urgent Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Picayune Urgent Care Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1065676) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Picayune Urgent Care Clinic, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Picayune Urgent Care Clinic, 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 Picayune Urgent Care Clinic, LLC was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.