PLANTERSVILLE CLINIC, INC
NPI 1952476921
Nurse Practitioner - Family in Plantersville, MS
About Plantersville Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLANTERSVILLE CLINIC, INC (NPI 1952476921) is a healthcare organization registered as a family in Plantersville, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Debra W Hill, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Plantersville Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Plantersville Clinic, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 25D0960737
Plantersville Clinic Inc · Plantersville, 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 Plantersville Clinic, Inc's NPI number?
The NPI number for Plantersville Clinic, Inc is 1952476921. It was assigned to this organization in the NPPES registry on November 22, 2006.
Where is Plantersville Clinic, Inc located?
Plantersville Clinic, Inc is located at 2464 Main St., Plantersville, MS 38862. The listed phone number is (662) 842-4877.
What is Plantersville Clinic, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Plantersville Clinic, Inc enrolled in Medicare?
Yes. Plantersville Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Plantersville Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Plantersville Clinic, Inc, in Family Practice 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Plantersville Clinic, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0960737) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Plantersville Clinic, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Plantersville Clinic, Inc 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 Plantersville Clinic, Inc was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Plantersville Clinic, Inc · NPI 1952476921
Family organization in Plantersville, Mississippi. Organization record, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1952476921 (Entity type: Organization)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Debra Hill, SECRETARY
## Practice location
- **Address:** 2464 MAIN ST., Plantersville, MS 38862
- **Phone:** (662) 842-4877
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2011
- **Other identifiers:** Medicaid 02853062 (MS); Medicare ID-Type Unspecified 258949 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952476921) · Data from the CMS NPPES public registry.