EAST MISSISSIPPI MEDICAL CLINIC, PLLC
NPI 1881640142
Clinic/Center in Meridian, MS

Active since May 26, 2006CLIA 25D1053941 · Waiver
4711 POPLAR SPG DR, MERIDIAN, MS 39305(601) 485-7777(601) 485-7766 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Mississippi Medical Clinic, Pllc NPPES

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

EAST MISSISSIPPI MEDICAL CLINIC, PLLC (NPI 1881640142) is a healthcare organization registered as a clinic/center in Meridian, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Razee Ameir Ahmad, President, as its authorized official.

NPPES Registry Identity

NPI1881640142
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEAST MISSISSIPPI MEDICAL CLINIC, PLLC
Location Address4711 POPLAR SPG DRMeridian, MS 39305-2622
Mailing Address4711 Poplar Springs DrMeridian, MS 39305-2622 · (601) 485-7777 · Fax (601) 485-7766
Fax(601) 485-7766
Organization SubpartNo
Authorized OfficialRazee Ameir AhmadPresident · (601) 485-7777
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 25, 2013
NPI 1881640142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in MS · 14494
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4711 POPLAR SPG DR, Meridian, MS 39305

Other Identifiers 4

Medicare OSCAR/certification253841MS
Medicaid00925081MS
Medicare PIN930003616MS
Medicare UPING10490MS

Accepted 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 25D1053941

East Mississippi Medical Clinic, PLLC · Meridian, MS
Active · expires May 7, 2028
CLIA Number25D1053941
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorRazee A. Ahmad
Laboratory Phone(601) 485-7777
Laboratory LocationEast Mississippi Medical Clinic, PLLC4711 Poplar Spring Drive, Meridian, MS 39305
CLIA data matches this NPI record on: 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.

Internal Medicine
4711 POPLAR SPG DR
MERIDIAN, MS 39305

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 East Mississippi Medical Clinic, PLLC's NPI number?

The NPI number for East Mississippi Medical Clinic, PLLC is 1881640142. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is East Mississippi Medical Clinic, PLLC located?

East Mississippi Medical Clinic, PLLC is located at 4711 Poplar Spg Dr, Meridian, MS 39305. The listed phone number is (601) 485-7777.

What is East Mississippi Medical Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does East Mississippi Medical Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1053941) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Mississippi Medical Clinic, PLLC 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 East Mississippi Medical Clinic, PLLC 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 East Mississippi Medical Clinic, PLLC was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.