NEW WAVE INTERNAL MEDICINE CLINIC, PLLC
NPI 1891138509
Specialist in Ocean Springs, MS

Active since April 11, 2013CLIA 25D2064704 · Waiver
1135 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564(228) 875-6695(228) 875-6696 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About New Wave Internal Medicine Clinic, Pllc NPPES

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

NEW WAVE INTERNAL MEDICINE CLINIC, PLLC (NPI 1891138509) is a healthcare organization registered as a specialist in Ocean Springs, Mississippi and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Amber D Colville, Owner, as its authorized official.

NPPES Registry Identity

NPI1891138509
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEW WAVE INTERNAL MEDICINE CLINIC, PLLC
Location Address1135 OCEAN SPRINGS RDOcean Springs, MS 39564-3421
Mailing Address1135 Ocean Springs RdOcean Springs, MS 39564-3421 · (228) 875-6695 · Fax (228) 875-6696
Fax(228) 875-6696
Organization SubpartNo
Authorized OfficialAmber D ColvilleOwner · (228) 875-6695
Enumeration DateApril 11, 2013
✔ NPI 1891138509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 18422
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1135 OCEAN SPRINGS RD, Ocean Springs, MS 39564

Other Identifiers 3

Medicare UPINI16968MS
Medicaid2107231MS
Medicare PIN110001795MS

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

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)

New Wave Internal Medicine Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20130724000233Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to New Wave Internal Medicine Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1457462020
1135 OCEAN SPRINGS RD
Ocean Springs, MS 39564
(228) 875-6695
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033328471
14231 SEAWAY RD SUITE 3004
Gulfport, MS 39503
(228) 206-1905
✔ PECOS18 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 25D2064704

New Wave Internal Medicine Clinic, PLLC · Ocean Springs, MS
Active · expires Aug 25, 2027
CLIA Number25D2064704
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorAmber D. Colville
Laboratory Phone(228) 875-6695
Laboratory LocationNew Wave Internal Medicine Clinic, PLLC1135 Ocean Springs Road, Ocean Springs, MS 39564
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 New Wave Internal Medicine Clinic, PLLC's NPI number?

The NPI number for New Wave Internal Medicine Clinic, PLLC is 1891138509. It was assigned to this organization in the NPPES registry on April 11, 2013.

Where is New Wave Internal Medicine Clinic, PLLC located?

New Wave Internal Medicine Clinic, PLLC is located at 1135 Ocean Springs Rd, Ocean Springs, MS 39564. The listed phone number is (228) 875-6695.

What is New Wave Internal Medicine Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is New Wave Internal Medicine Clinic, PLLC enrolled in Medicare?

Yes. New Wave Internal Medicine Clinic, PLLC is registered in the Medicare PECOS enrollment system.

When is New Wave Internal Medicine Clinic, PLLC'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 November 30, 2026. 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 New Wave Internal Medicine Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to New Wave Internal Medicine Clinic, PLLC, in Internal Medicine and Nurse Practitioner. 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 New Wave Internal Medicine Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2064704) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does New Wave Internal Medicine Clinic, PLLC accept?

Health plans from Cigna Healthcare and Molina Healthcare list New Wave Internal Medicine 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 New Wave Internal Medicine Clinic, PLLC was last updated on April 11, 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.