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MISSISSIPPI PRIMARY CARE MS
NPI 1821962440
Nurse Practitioner - Primary Care in Byram, MS

Active since October 06, 2025CLIA 25D2334577 · Waiver
7112 S SIWELL RD STE C, BYRAM, MS 39272(601) 622-5620(601) 510-3883 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2026, Mar 23, 2026, Jan 5, 2026 and 1 more (4 updates tracked since 2025).

About Mississippi Primary Care Ms NPPES

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

MISSISSIPPI PRIMARY CARE MS (NPI 1821962440) is a healthcare organization registered as a primary care in Byram, Mississippi and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists Chatina Spears Martin, Provider/administrator, as its authorized official.

NPPES Registry Identity

NPI1821962440
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMISSISSIPPI PRIMARY CARE MS
Location Address7112 S SIWELL RD STE CByram, MS 39272-8744
Mailing Address7112 S Siwell Rd Ste CByram, MS 39272-8744 · (601) 398-2847 · Fax (601) 510-3883
Phone(601) 622-5620
Fax(601) 510-3883
Organization SubpartNo
Authorized OfficialChatina Spears MartinProvider/administrator · (601) 398-2847
Enumeration DateOctober 6, 2025
Last NPPES UpdateApril 27, 20264 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1821962440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
7112 S SIWELL RD STE C, Byram, MS 39272
Open in Google Maps ↗

Other Identifiers 1

Medicaid000135719MS

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

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 25D2334577

Mississippi Primary Care, LLC · Byram, MS
Active · expires Nov 23, 2027
CLIA Number25D2334577
Laboratory TypePractitioner Other
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorChatina S. Martin
Laboratory Phone(601) 622-5620
Laboratory LocationMississippi Primary Care, LLC7112 S Siwell Rd Suite C, Byram, MS 39272
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.

MRS. CHATINA SPEARS MARTIN NP
Nurse Practitioner (Adult Health)
7112 S SIWELL RD STE C
BYRAM, MS 39272
Hinds County (601) 398-2847

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 Mississippi Primary Care Ms's NPI number?

The NPI number for Mississippi Primary Care Ms is 1821962440. It was assigned to this organization in the NPPES registry on October 6, 2025.

Where is Mississippi Primary Care Ms located?

Mississippi Primary Care Ms is located at 7112 S Siwell Rd Ste C, Byram, MS 39272. The listed phone number is (601) 622-5620.

What is Mississippi Primary Care Ms's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Mississippi Primary Care Ms hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2334577) is associated with this NPI, valid through November 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mississippi Primary Care Ms was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.