PETAL URGENT CARE LLC
NPI 1982908877
Clinic/Center - Urgent Care in Petal, MS
About Petal Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETAL URGENT CARE LLC (NPI 1982908877) is a healthcare organization registered as an urgent care in Petal, Mississippi and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through January 27, 2027, maintains a secondary practice location in Hattiesburg, and lists Brianne Nichole Whitney, Coo/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Petal Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Petal Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 38Source: 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 25D2019409
Petal Urgent Care Clinic · Petal, 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 Petal Urgent Care LLC's NPI number?
The NPI number for Petal Urgent Care LLC is 1982908877. It was assigned to this organization in the NPPES registry on January 6, 2011.
Where is Petal Urgent Care LLC located?
Petal Urgent Care LLC is located at 1272 Evelyn Gandy Pkwy Ste 60, Petal, MS 39465. The listed phone number is (707) 319-5068.
What is Petal Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Petal Urgent Care LLC enrolled in Medicare?
Yes. Petal Urgent Care LLC is registered in the Medicare PECOS enrollment system.
When is Petal Urgent Care LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Petal Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 2 Medicare specialties reassign their Medicare billing to Petal Urgent Care LLC. 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 Nurse Practitioner (36) and Emergency Medicine (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Petal Urgent Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2019409) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Petal Urgent Care LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Petal Urgent Care LLC 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 Petal Urgent Care LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Petal Urgent Care Llc · NPI 1982908877
Urgent Care organization in Petal, Mississippi. Organization record, active in the CMS NPPES registry since January 6, 2011.
## Identity
- **NPI:** 1982908877 (Entity type: Organization)
- **Enumerated:** January 6, 2011
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Brianne Whitney, COO/PRESIDENT
## Practice location
- **Address:** 1272 EVELYN GANDY PKWY STE 60, Petal, MS 39465-3953
- **Phone:** (707) 319-5068 · **Fax:** (601) 602-4681
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 38 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (36), Emergency Medicine (2); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1982908877/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2026
- **Other identifiers:** Medicaid 03704755 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982908877) · Data from the CMS NPPES public registry.