WEBSTER URGENT CARE CALEDONIA LLC
NPI 1912893322
Clinic/Center - Urgent Care in Caledonia, MS

Active since June 13, 2025CLIA 25D2325034 · Certificate of Compliance
39 SOUTH STREET, CALEDONIA, MS 39740(662) 356-1560 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Webster Urgent Care Caledonia Llc NPPES

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

WEBSTER URGENT CARE CALEDONIA LLC (NPI 1912893322) is a healthcare organization registered as an urgent care in Caledonia, Mississippi and active in the NPI registry since June 2025. The organization holds a CLIA Certificate of Compliance certificate valid through October 29, 2027 and lists Misti Garnett, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1912893322
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameWEBSTER URGENT CARE CALEDONIA LLC
Location Address39 SOUTH STREETCaledonia, MS 39740
Mailing Address39 South StCaledonia, MS 39740-8590 · (662) 356-1560 · Fax (662) 356-1560
Organization SubpartNo
Authorized OfficialMisti GarnettAuthorized Official · (662) 418-9552
Enumeration DateJune 13, 2025
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1912893322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
39 SOUTH STREET, Caledonia, MS 39740

Other Identifiers 1

Medicaid200020548MS

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Webster Urgent Care Caledonia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Webster Urgent Care Caledonia LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1720856552
39 SOUTH STREET
Caledonia, MS 39740
(662) 356-1560
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962015032
39 SOUTH STREET
Caledonia, MS 39740
(662) 356-1560
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184506990
39 SOUTH ST
Caledonia, MS 39740
(662) 356-1560
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023442795
56 DUTCH LN
Columbus, MS 39702
(662) 329-3808
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1710792874
24978 MS HIGHWAY 15
Mathiston, MS 39752
(662) 634-3089
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1346217502
24978 MS HIGHWAY 15
Mathiston, MS 39752
(662) 634-3089
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1821873746
24978 MS HIGHWAY
Mathiston, MS 39752
(662) 662-3089
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1275216467
1401 RIVER RD
Greenwood, MS 38930
(662) 459-7000
✔ PECOS✔ Accepts Medicare109 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 Compliance 25D2325034

Webster Urgent Care- Caledonia · Caledonia, MS
Active · expires Oct 29, 2027
CLIA Number25D2325034
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorRobbye C. Adams
Laboratory Phone(662) 356-1560
Laboratory LocationWebster Urgent Care- Caledonia39 South St, Caledonia, MS 39740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Webster Urgent Care Caledonia LLC's NPI number?

The NPI number for Webster Urgent Care Caledonia LLC is 1912893322. It was assigned to this organization in the NPPES registry on June 13, 2025.

Where is Webster Urgent Care Caledonia LLC located?

Webster Urgent Care Caledonia LLC is located at 39 South Street, Caledonia, MS 39740. The listed phone number is (662) 356-1560.

What is Webster Urgent Care Caledonia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Webster Urgent Care Caledonia LLC enrolled in Medicare?

Yes. Webster Urgent Care Caledonia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Webster Urgent Care Caledonia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Webster Urgent Care Caledonia 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Webster Urgent Care Caledonia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2325034) is associated with this NPI, valid through October 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Webster Urgent Care Caledonia LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Webster Urgent Care Caledonia 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 Webster Urgent Care Caledonia LLC was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.