MADISON CANTON MEDICAL CLINIC
NPI 1932144243
Clinic/Center - Rural Health in Canton, MS
About Madison Canton Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON CANTON MEDICAL CLINIC (NPI 1932144243) is a healthcare organization registered as a rural health in Canton, Mississippi and active in the NPI registry since June 2006. The organization lists Neelam Goel, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 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)
Madison Canton Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Madison Canton Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
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 Psp Medical Clinic LLC's NPI number?
The NPI number for Psp Medical Clinic LLC is 1932144243. It was assigned to this organization in the NPPES registry on June 19, 2006. The provider is doing business as Madison Canton Medical Clinic and Magnolia Medical Clinics.
Where is Psp Medical Clinic LLC located?
Psp Medical Clinic LLC is located at 1171 Hart St, Canton, MS 39046. The listed phone number is (601) 859-9888.
What is Psp Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Psp Medical Clinic LLC enrolled in Medicare?
Yes. Psp Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
When is Psp Medical Clinic LLC'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 December 31, 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 Psp Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Psp Medical Clinic 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. The largest specialties are Nurse Practitioner (8), Mental Health Counselor (3) and Emergency Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Psp Medical Clinic 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 Psp Medical Clinic 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 Psp Medical Clinic LLC was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Madison Canton Medical Clinic · NPI 1932144243
Rural Health organization in Canton, Mississippi. Organization record, active in the CMS NPPES registry since June 19, 2006.
## Identity
- **NPI:** 1932144243 (Entity type: Organization)
- **Enumerated:** June 19, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Psp Medical Clinic Llc
- **Also known as:** Magnolia Medical Clinics (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Neelam Goel, MANAGER
## Practice location
- **Address:** 1171 HART ST, Canton, MS 39046-4805
- **Phone:** (601) 859-9888 · **Fax:** (601) 859-9966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Mental Health Counselor (3), Emergency Medicine (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2021
- **Other identifiers:** Other 25D1052898 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1932144243) · Data from the CMS NPPES public registry.