MED360 LLC
NPI 1831819820
Clinic/Center - Medical Specialty in Columbia, MS

Q: What is Med360 LLC's NPI number?

The NPI number for Med360 LLC is 1831819820. It was assigned to this organization in the NPPES registry on August 30, 2022. The provider is doing business as Med360. The provider is also known as Med360 Family Clinic.

Q: What is Med360 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Q: When was this NPI record last updated?

The NPPES record for Med360 LLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 30, 2022CLIA 25D2288653 · Waiver

407 SUMRALL RD, COLUMBIA, MS 39429(601) 345-5424(601) 519-0772 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2026, Nov 11, 2023, Aug 30, 2022 (3 updates tracked since 2022).

On this page

About Med360 Llc NPPES

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

MED360 LLC (NPI 1831819820), doing business as Med360, is a healthcare organization registered as a medical specialty in Columbia, Mississippi and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Michael Don Schepemaker, Owner, as its authorized official.

NPPES Registry Identity

NPI1831819820

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameMED360 LLC

Location Address407 SUMRALL RDColumbia, MS 39429-9550

Mailing Address407 Sumrall RdColumbia, MS 39429-9550 · (601) 345-5424 · Fax (601) 519-0772

Phone(601) 345-5424

Fax(601) 519-0772

Organization SubpartNo

Authorized OfficialMichael Don SchepemakerOwner · (601) 345-5424

Enumeration DateAugust 30, 2022

Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1831819820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

407 SUMRALL RD, Columbia, MS 39429

Open in Google Maps ↗

Other Names 2

Doing Business AsMed360

Other NameMed360 Family Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

Med360 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Med360 LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Michael Schepemaker, FNP

Nurse Practitioner

NPI 1952993743

407 SUMRALL RD STE 1
Columbia, MS 39429

(601) 345-5424

✔ PECOS✔ Accepts MedicareSame address

Carlee Nicholson, DNP, FNP-BC

Nurse Practitioner

NPI 1508623570

415 S 28TH AVE
Hattiesburg, MS 39401

(601) 288-5200

✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 25D2288653

Med360 LLC · Columbia, MS

Active · expires Aug 28, 2027

CLIA Number25D2288653

Laboratory TypePhysician Office

Certificate Effective DateAugust 29, 2025

Certificate Expiration DateAugust 28, 2027

Laboratory DirectorMichael Schepemaker

Laboratory Phone(601) 345-5424

Laboratory LocationMed360 LLC407 Sumrall Rd, Columbia, MS 39429

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Med360 LLC's NPI number?

The NPI number for Med360 LLC is 1831819820. It was assigned to this organization in the NPPES registry on August 30, 2022. The provider is doing business as Med360. The provider is also known as Med360 Family Clinic.

Where is Med360 LLC located?

Med360 LLC is located at 407 Sumrall Rd, Columbia, MS 39429. The listed phone number is (601) 345-5424.

What is Med360 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Med360 LLC enrolled in Medicare?

Yes. Med360 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Med360 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Med360 LLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Med360 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2288653) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Med360 LLC accept?

Health plans from Molina Healthcare list Med360 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 Med360 LLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.