PREMIER MEDICAL CLINIC
NPI 1962451831
Clinic/Center - Rural Health in Mccomb, MS

NPI Status: Active since May 09, 2006

Contact Information

300 RAWLS DR
STE 600
MCCOMB, MS
ZIP 39648
Phone: (601) 249-4415
Fax: (601) 249-4474

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance

About PREMIER MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Premier Medical Clinic, a primary care provider established in Mccomb, Mississippi operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1962451831 assigned on May 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Premier Medical Clinic. The authorized official of this NPI record is Mrs. Charla Rowley (Ceo)

NPI
1962451831
Provider Legal Name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Other Organization Name
PREMIER MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 RAWLS DR STE 600 MCCOMB, MS 39648
Location Phone
(601) 249-4415
Location Fax
(601) 249-4474
Mailing Address
PO BOX 490 MCCOMB, MS 39649
Mailing Phone
(601) 249-2701
Mailing Fax
(601) 249-4474
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2006
Last Update Date
07-13-2022
Code Navigator

A primary care provider (PCP) like Premier Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 215 Marion Ave Fl 5
    McComb, MS 39648
    (601) 249-4415

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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • 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
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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. CHARLA ROWLEY

Authorized Official Title
CEO
Authorized Official Phone
(601) 249-1806

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
07800828MEDICAID (05)MS 

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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.
1962451831
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2912285286
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 8 + 5 + 2 + 8 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1962451831 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134117294DR. PATRICK EVAN TARPY M.D., F.A.A.P.
Individual
Pediatrics300 RAWLS DR SUITE 100
MCCOMB, MS 39648
(601) 684-7623
1952399016DR. ANTOINETTE MARIE HUBBLE M.D., F.A.A.P.
Individual
Pediatrics300 RAWLS DR SUITE 100
MCCOMB, MS 39648
(601) 684-7623
1376531368DR. MILTON SHELBY SMITH M.D., F.A.A.P.
Individual
Pediatrics300 RAWLS DR SUITE 100
MCCOMB, MS 39648
(601) 684-8050
1073594743DR. CHRISTOPHER CHARLES M.D., F.A.A.P.
Individual
Pediatrics300 RAWLS DR
MCCOMB, MS 39648
(601) 684-7623
1841275617 ASHOK D NAVLANI MD,
Individual
Specialist300 RAWLS DR
MCCOMB, MS 39648
(601) 249-2676
1972694172ORTHOPEDIC CLINIC OF SOUTHWEST MISSISSIPPI
Organization
Orthopaedic Surgery (Sports Medicine)300 RAWLS DR SUITE 400
MCCOMB, MS 39648
(601) 684-4613
1265563423BERT S. HAYDEL
Organization
Physical Therapist300 RAWLS DR SUITE 700A
MCCOMB, MS 39648
(601) 684-0355
1578719225ORTHOPAEDIC CLINICS OF SW MISSISSIPPI PA
Organization
Specialist300 RAWLS DR MEDICAL ARTS BUILDING SUITE 400
MCCOMB, MS 39648
(601) 684-4613
1811990732MRS. WENDY HAYDEL BLUE P.T. PHARM D.
Individual
Physical Therapist300 RAWLS DR STE 700A
MCCOMB, MS 39648
(601) 684-0355
1548263288MR. BERT SINCLAIR HAYDEL R.P.T
Individual
Physical Therapist300 RAWLS DR STE 700A
MCCOMB, MS 39648
(601) 684-0355
1750339172DR. BYRON JEFFCOAT MD
Individual
Internal Medicine (Sports Medicine)300 RAWLS DR SUITE 400
MCCOMB, MS 39648
(601) 684-4613
1396156683MISSISSIPPI STATE DEPARTMENT OF HEALTH
Organization
Public Health or Welfare300 RAWLS DR SUITE 500
MCCOMB, MS 39648
(601) 249-4386
1457332066DR. STEPHEN PAUL KEITH MD
Individual
Internal Medicine (Gastroenterology)300 RAWLS DR SUITE 1200
MCCOMB, MS 39648
(601) 249-4710
1073545042MRS. MARY THORNTON CFNP
Individual
Nurse Practitioner (Family)300 RAWLS DR STE 1200
MCCOMB, MS 39648
(601) 249-4710
1700892346 JOSEPH H RICHARD CFNP
Individual
Nurse Practitioner (Family)300 RAWLS DR STE 1200
MCCOMB, MS 39648
(601) 249-4710
1538582531MRS. MARCELLA ROBERTS CNP
Individual
Nurse Practitioner (Family)300 RAWLS DR STE 600
MCCOMB, MS 39648
(601) 249-4415
1487662763 ROBERT E DECOUX JR. MD
Individual
General Practice300 RAWLS DR SUITE 1300
MCCOMB, MS 39648
(601) 249-3541
1467401331SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Organization
Internal Medicine (Gastroenterology)300 RAWLS DR SUITE 1200
MCCOMB, MS 39648
(601) 249-4710
1174109722 KELSA THAMES LMSW
Individual
Social Worker (Clinical)300 RAWLS DR
MCCOMB, MS 39648
(601) 684-8284

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962451831, enumerated in the NPI registry as an "organization" on May 09, 2006

The provider is located at 300 Rawls Dr Ste 600 Mccomb, Ms 39648 and the phone number is (601) 249-4415

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 09, 2006. 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.