PROGRESSIVE PHYSICIANS PRACTICE
NPI 1982783619
Internal Medicine in Southaven, MS

Active since November 03, 2006CLIA 25D1005912 · Waiver
8412 AIRWAYS BLVD, SOUTHAVEN, MS 38671(662) 536-2100(662) 536-2211 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Progressive Physicians Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROGRESSIVE PHYSICIANS PRACTICE (NPI 1982783619) is a healthcare organization registered as an internal medicine in Southaven, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Remilekun Subedat Adesoji, Owner, as its authorized official.

NPPES Registry Identity

NPI1982783619
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROGRESSIVE PHYSICIANS PRACTICE
Location Address8412 AIRWAYS BLVDSouthaven, MS 38671-5140
Mailing AddressPo Box 1078Southaven, MS 38671 · (662) 536-2100 · Fax (662) 536-2211
Fax(662) 536-2211
Organization SubpartNo
Authorized OfficialRemilekun Subedat AdesojiOwner · (662) 536-2100
Enumeration DateNovember 3, 2006
Last NPPES UpdateNovember 4, 2010
✔ NPI 1982783619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 16532
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.
Also ListedPediatricsTaxonomy 208000000X · License 16591 (MS)
8412 AIRWAYS BLVD, Southaven, MS 38671

Other Identifiers 2

Medicaid01724394MS
Medicare PINC02832MS

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Progressive Physicians Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Progressive Physicians Practice, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pediatric Medicine
NPI 1043232986
8412 AIRWAYS BLVD
Southaven, MS 38671
(662) 536-2100
✔ PECOSSame address
Internal Medicine
NPI 1861414708
8412 AIRWAYS BLVD BUILDING C,SUITE 5B
Southaven, MS 38671
(662) 536-2100
✔ PECOS✔ Accepts MedicareSame address

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 25D1005912

Progressive Physicians Practice PLLC · Southaven, MS
Active · expires Jun 23, 2027
CLIA Number25D1005912
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorRemi Adesoji
Laboratory Phone(662) 536-2100
Laboratory LocationProgressive Physicians Practice PLLC8412 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.

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 Progressive Physicians Practice's NPI number?

The NPI number for Progressive Physicians Practice is 1982783619. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Progressive Physicians Practice located?

Progressive Physicians Practice is located at 8412 Airways Blvd, Southaven, MS 38671. The listed phone number is (662) 536-2100.

What is Progressive Physicians Practice's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Progressive Physicians Practice enrolled in Medicare?

Yes. Progressive Physicians Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Progressive Physicians Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Progressive Physicians Practice, in Internal Medicine and Pediatric Medicine. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Progressive Physicians Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1005912) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Progressive Physicians Practice 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 Progressive Physicians Practice 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 Progressive Physicians Practice was last updated on November 4, 2010. 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.