MISSISSIPPI DIVERSIFIED HEALTHCARE INC
NPI 1881822708
Radiology - Radiation Oncology in Natchez, MS
About Mississippi Diversified Healthcare Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSISSIPPI DIVERSIFIED HEALTHCARE INC (NPI 1881822708) is a healthcare organization registered as a radiation oncology in Natchez, Mississippi and active in the NPI registry since June 2009. The organization lists Roderick C. Givens, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Mississippi Diversified Healthcare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mississippi Diversified Healthcare Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Diversified Healthcare Inc's NPI number?
The NPI number for Mississippi Diversified Healthcare Inc is 1881822708. It was assigned to this organization in the NPPES registry on June 30, 2009.
Where is Mississippi Diversified Healthcare Inc located?
Mississippi Diversified Healthcare Inc is located at 133 Jefferson Davis Blvd, Natchez, MS 39120. The listed phone number is (770) 443-4483.
What is Mississippi Diversified Healthcare Inc's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.
Is Mississippi Diversified Healthcare Inc enrolled in Medicare?
Yes. Mississippi Diversified Healthcare Inc is registered in the Medicare PECOS enrollment system.
When is Mississippi Diversified Healthcare Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Mississippi Diversified Healthcare Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Radiation Oncology) reassigns their Medicare billing to Mississippi Diversified Healthcare Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mississippi Diversified Healthcare Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Mississippi Diversified Healthcare Inc 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 Mississippi Diversified Healthcare Inc was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mississippi Diversified Healthcare Inc · NPI 1881822708
Radiation Oncology organization in Natchez, Mississippi. Organization record, active in the CMS NPPES registry since June 30, 2009.
## Identity
- **NPI:** 1881822708 (Entity type: Organization)
- **Enumerated:** June 30, 2009
- **Primary specialty:** Radiology - Radiation Oncology · taxonomy 2085R0001X
- **Organization subpart:** No
- **Authorized official:** Roderick Givens, PRESIDENT
## Practice location
- **Address:** 133 JEFFERSON DAVIS BLVD, Natchez, MS 39120-5103
- **Phone:** (770) 443-4483 · **Fax:** (770) 443-4410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Radiation Oncology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1881822708) · Data from the CMS NPPES public registry.