CAFFEY CLINIC LLC
NPI 1235529298
Nurse Practitioner in Senatobia, MS

NPI Status: Active since January 29, 2015

Contact Information

3297 HIGHWAY 51 S
SENATOBIA, MS
ZIP 38668
Phone: (662) 562-0100
Fax: (662) 562-0115

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  • Organization
  • Nurse Practitioner
  • Accepts Insurance
  • CLIA Number: 25D2091147
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-05-2027

About CAFFEY CLINIC LLC

This page provides the complete NPI Profile along with additional information for Caffey Clinic Llc, a provider established in Senatobia, Mississippi operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1235529298 assigned on January 2015. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Jennie Pryor Rn (Director Of Health Services)

NPI
1235529298
Provider Name
CAFFEY CLINIC LLC
Entity Type
Organization
Location Address
3297 HIGHWAY 51 S SENATOBIA, MS 38668
Location Phone
(662) 562-0100
Location Fax
(662) 562-0115
Mailing Address
PO BOX 531 SENATOBIA, MS 38668
Mailing Phone
(662) 562-0100
Mailing Fax
(662) 562-0115
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2015
Last Update Date
11-03-2022
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A nurse practitioner (NP) like Caffey Clinic Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 6500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 4000 Indiv Med Deductible - EPO
  • Connect Silver 6500 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIE PRYOR RN

Authorized Official Title
DIRECTOR OF HEALTH SERVICES
Authorized Official Phone
(662) 562-0100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2091147
Facility Type
Community Clinic
Certificate Effective Date
February 06, 2025
Certificate Expiration Date
February 05, 2027
Laboratory Director
DR. MICHAEL B. BAGWELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Caffey Clinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CAFFEY CLINIC LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235529298
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226510218218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 0 + 2 + 1 + 8 + 2 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1235529298 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942636998BUCKMAN ENRICHMENT HOME
Organization
Assisted Living Facility3297 HIGHWAY 51 S
SENATOBIA, MS 38668
(662) 562-0100
1417464512COMMUNITY LIVING IN MISSISSIPPI - BADDOUR
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities3297 HIGHWAY 51 S
SENATOBIA, MS 38668
(662) 689-0501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235529298, enumerated in the NPI registry as an "organization" on January 29, 2015

The provider is located at 3297 Highway 51 S Senatobia, Ms 38668 and the phone number is (662) 562-0100

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 25D2091147 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 29, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.