EAST MISSISSIPPI MEDICAL CLINIC, PLLC
NPI 1881640142
Clinic/Center in Meridian, MS
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Mississippi Medical Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by February 28, 2027
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to East Mississippi Medical Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 25D1053941
East Mississippi Medical Clinic, PLLC · Meridian, MSFrequently 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.
Is East Mississippi Medical Clinic, PLLC enrolled in Medicare?
Yes. East Mississippi Medical Clinic, PLLC is registered in the Medicare PECOS enrollment system.
When is East Mississippi Medical Clinic, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), East Mississippi Medical Clinic, PLLC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by February 28, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through East Mississippi Medical Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to East Mississippi Medical Clinic, PLLC. 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 (7) and Internal Medicine (3). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 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.
# East Mississippi Medical Clinic, Pllc · NPI 1881640142
Clinic/Center organization in Meridian, Mississippi. Organization record, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1881640142 (Entity type: Organization)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Razee Ahmad, PRESIDENT
## Practice location
- **Address:** 4711 POPLAR SPG DR, Meridian, MS 39305-2622
- **Phone:** (601) 485-7777 · **Fax:** (601) 485-7766
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (3); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2013
- **Other identifiers:** Medicare OSCAR/certification 253841 (MS); Medicaid 00925081 (MS); Medicare PIN 930003616 (MS); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881640142) · Data from the CMS NPPES public registry.