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SOUTHAVEN INTERNAL MEDICINE, P.C.
NPI 1932259355
Internal Medicine in Southaven, MS

Active since January 10, 2007CLIA 25D0919067 · Waiver
7680 AIRWAYS BLVD, SOUTHAVEN, MS 38671(662) 349-1999(662) 349-9734 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1932259355
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHAVEN INTERNAL MEDICINE, P.C.
Location Address7680 AIRWAYS BLVDSouthaven, MS 38671-5304
Mailing Address7680 Airways BlvdSouthaven, MS 38671-5304 · (662) 349-1999 · Fax (662) 349-9734
Phone(662) 349-1999
Fax(662) 349-9734
Organization SubpartNo
Authorized OfficialKandis P SledgeOffice Manager · (662) 349-1999
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJune 17, 2010
✔ NPI 1932259355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7680 AIRWAYS BLVD, Southaven, MS 38671
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Other Identifiers 4

Medicare ID-Type UnspecifiedCH0508Rail Road Medicare
Medicare ID-Type UnspecifiedC02531MS · Cahaba
Medicaid09015446MS
Medicare ID-Type Unspecified3724206TN · Medicare Tn

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

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, MS
Active · expires Aug 5, 2027
CLIA Number25D0919067
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorDr. Magdi Wassef
Laboratory Phone(662) 349-1999
Laboratory LocationSouthaven Internal Medicine7680 Airways Blvd, Southaven, MS 38671
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LILY HERBERT M.D.
Internal Medicine
7680 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Desoto County (662) 349-1999
MR. MAGDI S WASSEF M.D.
Internal Medicine
7680 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Desoto County (662) 349-1999
MS. MARY S MISSAK M.D.
Internal Medicine
7680 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Desoto County (662) 349-1999

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 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.

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.

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.