BILOXI INTERNAL MEDICINE CLINIC PA
NPI 1962464438
Internal Medicine in Biloxi, MS
About Biloxi Internal Medicine Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BILOXI INTERNAL MEDICINE CLINIC PA (NPI 1962464438) is a healthcare organization registered as an internal medicine in Biloxi, Mississippi and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Marion Jean Wainwright, President, 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)
Biloxi Internal Medicine Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Biloxi Internal Medicine Clinic PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 25D0319601
Biloxi Internal Medicine Clinic PA · Biloxi, 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 Biloxi Internal Medicine Clinic PA's NPI number?
The NPI number for Biloxi Internal Medicine Clinic PA is 1962464438. It was assigned to this organization in the NPPES registry on April 3, 2006.
Where is Biloxi Internal Medicine Clinic PA located?
Biloxi Internal Medicine Clinic PA is located at 147 Reynoir Street Suite 204, Biloxi, MS 39530. The listed phone number is (228) 374-2051.
What is Biloxi Internal Medicine Clinic PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Biloxi Internal Medicine Clinic PA enrolled in Medicare?
Yes. Biloxi Internal Medicine Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Biloxi Internal Medicine Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Biloxi Internal Medicine Clinic PA. 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 Internal Medicine (4) and Nurse Practitioner (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Biloxi Internal Medicine Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0319601) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Biloxi Internal Medicine Clinic PA 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 Biloxi Internal Medicine Clinic PA 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 Biloxi Internal Medicine Clinic PA was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Biloxi Internal Medicine Clinic Pa · NPI 1962464438
Internal Medicine organization in Biloxi, Mississippi. Organization record, active in the CMS NPPES registry since April 3, 2006.
## Identity
- **NPI:** 1962464438 (Entity type: Organization)
- **Enumerated:** April 3, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Marion Wainwright, PRESIDENT
## Practice location
- **Address:** 147 REYNOIR STREET, SUITE 204, Biloxi, MS 39530
- **Phone:** (228) 374-2051 · **Fax:** (228) 374-5741
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (4), Nurse Practitioner (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 2, 2008
- **Other identifiers:** Medicare ID-Type Unspecified 0285; Medicaid 09012028 (MS)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1962464438) · Data from the CMS NPPES public registry.