SOUTHAVEN INTERNAL MEDICINE, P.C.
NPI 1932259355
Internal Medicine in Southaven, MS
About Southaven Internal Medicine, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHAVEN INTERNAL MEDICINE, P.C. (NPI 1932259355) is a healthcare organization registered as an internal medicine in Southaven, Mississippi and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Kandis P Sledge, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Southaven Internal Medicine, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southaven Internal Medicine, P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 25D0919067
Southaven Internal Medicine · Southaven, 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 Southaven Internal Medicine, P.C.'s NPI number?
The NPI number for Southaven Internal Medicine, P.C. is 1932259355. It was assigned to this organization in the NPPES registry on January 10, 2007.
Where is Southaven Internal Medicine, P.C. located?
Southaven Internal Medicine, P.C. is located at 7680 Airways Blvd, Southaven, MS 38671. The listed phone number is (662) 349-1999.
What is Southaven Internal Medicine, P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Southaven Internal Medicine, P.C. enrolled in Medicare?
Yes. Southaven Internal Medicine, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southaven Internal Medicine, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Southaven Internal Medicine, P.C.. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southaven Internal Medicine, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0919067) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southaven Internal Medicine, P.C. accept?
Health plans from Cigna Healthcare list Southaven Internal Medicine, P.C. 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 Southaven Internal Medicine, P.C. was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Southaven Internal Medicine, P.c. · NPI 1932259355
Internal Medicine organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1932259355 (Entity type: Organization)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Kandis Sledge, OFFICE MANAGER
## Practice location
- **Address:** 7680 AIRWAYS BLVD, Southaven, MS 38671-5304
- **Phone:** (662) 349-1999 · **Fax:** (662) 349-9734
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2010
- **Other identifiers:** Medicare ID-Type Unspecified CH0508; Medicare ID-Type Unspecified C02531 (MS); Medicaid 09015446 (MS); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932259355) · Data from the CMS NPPES public registry.