Dr. Arenia C. Mallory Community Health Center, Inc. - Medicare Primary Care in Lexington, MS

Dr. Arenia C. Mallory Community Health Center, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lexington, Mississippi. The current practice location for Dr. Arenia C. Mallory Community Health Center, Inc. is 17280 Highway 17 South, Lexington, Mississippi. For appointments, you can reach them via phone at (662) 834-1857. The mailing address for Dr. Arenia C. Mallory Community Health Center, Inc. is Po Box 479, Lexington, Mississippi and phone number is (662) 834-1857.

Dr. Arenia C. Mallory Community Health Center, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740308873. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 834-1857.

Contact Information

Dr. Arenia C. Mallory Community Health Center, Inc.
17280 Highway 17 South
Lexington
MS 39095
(662) 834-1857
(662) 834-4937

Map and Direction


Primary Care Clinic Profile

Full NameDr. Arenia C. Mallory Community Health Center, Inc.
SpecialityClinic/Center
Location17280 Highway 17 South, Lexington, Mississippi
Authorized Official Name and PositionClyde Rozell Chapman (INTERIM CHIEF EXECUTIVE OFFICER)
Authorized Official Contact6628341857
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr. Arenia C. Mallory Community Health Center, Inc.
Po Box 479
Lexington
MS 39095-0479

Ph: (662) 834-1857
Dr. Arenia C. Mallory Community Health Center, Inc.
17280 Highway 17 South
Lexington
MS 39095

Ph: (662) 834-1857

NPI Details:

NPI Number1740308873
Provider Enumeration Date03/27/2007
Last Update Date07/29/2015

Medicare PECOS Information:

Medicare PECOS PAC ID9739074501
Medicare Enrollment IDO20040219000709

Medical Identifiers

Medical identifiers for Dr. Arenia C. Mallory Community Health Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740308873NPI-NPPES
09013975MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dr. Arenia C. Mallory Community Health Center, Inc. acts as a billing entity for following providers:
Provider NameTeresa Ann Raybourn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992782304
PECOS PAC ID: 0244289528
Enrollment ID: I20050113000268
Provider NameRenita F Cotton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902832538
PECOS PAC ID: 7618990672
Enrollment ID: I20060105000593
Provider NameKatherine Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326079047
PECOS PAC ID: 4385640994
Enrollment ID: I20061004000461
Provider NameKeith I Stokes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821297961
PECOS PAC ID: 8628148780
Enrollment ID: I20080531000013
Provider NameRomero K Midgett
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1598903577
PECOS PAC ID: 0648336131
Enrollment ID: I20090309000257
Provider NameNadean Randle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851548135
PECOS PAC ID: 9830255058
Enrollment ID: I20090312000520
Provider NameHarsh Doshi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831150531
PECOS PAC ID: 6204992472
Enrollment ID: I20090313000150
Provider NameJill Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457508475
PECOS PAC ID: 7113074287
Enrollment ID: I20100329001034
Provider NameKatrina Cotton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780935841
PECOS PAC ID: 1850531815
Enrollment ID: I20130716000131
Provider NameErin K Hines
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952742736
PECOS PAC ID: 3779712799
Enrollment ID: I20140214000449
Provider NameKeila L Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518380120
PECOS PAC ID: 8628291663
Enrollment ID: I20140521000600
Provider NameAnita Greer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780087304
PECOS PAC ID: 3274858345
Enrollment ID: I20150212000310
Provider NameKristie Lashundra Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447632351
PECOS PAC ID: 1658680640
Enrollment ID: I20151013002158
Provider NameClyde Rozell Chapman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952630089
PECOS PAC ID: 8527373489
Enrollment ID: I20160113000248
Provider NameMonique D Pendleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497147318
PECOS PAC ID: 0840593679
Enrollment ID: I20160128000223
Provider NameDana Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457706913
PECOS PAC ID: 0941591929
Enrollment ID: I20160622001329
Provider NameLease Wordlaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578923454
PECOS PAC ID: 6406131556
Enrollment ID: I20170403000414
Provider NameMelissa Yvonne White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033643432
PECOS PAC ID: 7618246752
Enrollment ID: I20170816002914
Provider NameMichele L Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467976548
PECOS PAC ID: 9234403536
Enrollment ID: I20170926001590
Provider NameKathryn Conner Carroll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093226763
PECOS PAC ID: 5991061319
Enrollment ID: I20171117000055
Provider NameSharon Mcmillin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558872663
PECOS PAC ID: 5092071456
Enrollment ID: I20171117002070
Provider NameTrevalla Kaye Lindsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538697453
PECOS PAC ID: 8820356843
Enrollment ID: I20171221001211
Provider NameMonica L Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962875575
PECOS PAC ID: 7113286725
Enrollment ID: I20180104001772
Provider NameCiera N Draine
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912245671
PECOS PAC ID: 0648578419
Enrollment ID: I20181002000435
Provider NameTammie Marshell Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902362734
PECOS PAC ID: 5799027884
Enrollment ID: I20190418002391
Provider NameJenna Brooke Pugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124660063
PECOS PAC ID: 1254764830
Enrollment ID: I20191212002109
Provider NameKevin Patterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356999460
PECOS PAC ID: 4981038700
Enrollment ID: I20200102000684
Provider NameMelanie Bernita Eiland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265015028
PECOS PAC ID: 2466857859
Enrollment ID: I20210824000227
Provider NameOrlesha Carroll Bishop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629578273
PECOS PAC ID: 5799174538
Enrollment ID: I20211116001881
Provider NameX'zanthea Terrineca Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447821186
PECOS PAC ID: 7517357403
Enrollment ID: I20211208002439
Provider NameJocelyn Patrice Seawood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013699057
PECOS PAC ID: 8123480662
Enrollment ID: I20231206000547

Reviews and Comments


Clinic/Center in Lexington, MS

Patients Choice Clinic Of Lexington
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 22741 Highway 12, Lexington, MS 39095
Phone: 662-834-1961    Fax: 662-834-1962
Dr. Arenia C. Mallory Community Health Center, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9479 Brozville Rd, Lexington, MS 39095
Phone: 662-834-0532    
Mallory Community Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 17280 Highway 17, Lexington, MS 39095
Phone: 662-834-1857    Fax: 662-834-1859
Dr. Arenia C. Mallory Community Health Center, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9749 Brozville Road, Lexington, MS 39095
Phone: 662-834-2172    
Dr. Arenia C. Mallory Community Health Center, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 12572 Highway 12, Lexington, MS 39095
Phone: 662-235-5226    
Mchc-hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 17280 Highway 17, Lexington, MS 39095
Phone: 662-834-1857    Fax: 662-834-0531
Mallory Mobile Rv Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 17280 Highway 17, Lexington, MS 39095
Phone: 662-834-1857    Fax: 662-834-1859

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.