PLANTERSVILLE CLINIC, INC
NPI 1952476921
Nurse Practitioner - Family in Plantersville, MS

Active since November 22, 2006CLIA 25D0960737 · Waiver
2464 MAIN ST., PLANTERSVILLE, MS 38862(662) 842-4877 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1952476921
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePLANTERSVILLE CLINIC, INC
Location Address2464 MAIN ST.Plantersville, MS 38862
Mailing AddressPo Box 219Plantersville, MS 38862-0219 · (662) 842-4877
Organization SubpartNo
Authorized OfficialDebra W HillSecretary · (662) 842-4877
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 21, 2011
NPI 1952476921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R713511
2464 MAIN ST., Plantersville, MS 38862

Other Identifiers 2

Medicaid02853062MS
Medicare ID-Type Unspecified258949MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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, MS
Active · expires Jan 22, 2027
CLIA Number25D0960737
Laboratory TypeFnp
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorDebra W. Hill
Laboratory Phone(662) 842-4877
Laboratory LocationPlantersville Clinic Inc2464 Main Street, Plantersville, MS 38862
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 2

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

Nurse Practitioner (Family)
2464 MAIN ST.
PLANTERSVILLE, MS 38862
Nurse Practitioner (Family)
2464 MAIN ST.
PLANTERSVILLE, MS 38862

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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.