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CALEDONIA COMMUNITY CLINIC
NPI 1013426329
Nurse Practitioner in Caledonia, MS

Active since September 29, 2017CLIA 25D2138127 · Waiver
171 SOUTH ST, CALEDONIA, MS 39740(662) 251-7389 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caledonia Community Clinic NPPES

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

CALEDONIA COMMUNITY CLINIC (NPI 1013426329) is a healthcare organization registered as a nurse practitioner in Caledonia, Mississippi and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Amanda Fondren, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1013426329
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFIG LEAF, LLC
Location Address171 SOUTH STCaledonia, MS 39740
Mailing Address171 South StCaledonia, MS 39740-8587
Phone(662) 251-7389
Organization SubpartNo
Authorized OfficialAmanda FondrenNurse Practitioner/owner · (662) 855-0080
Enumeration DateSeptember 29, 2017
Last NPPES UpdateMay 22, 2018
✔ NPI 1013426329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · R858548
Definition
(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.
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
171 SOUTH ST, Caledonia, MS 39740
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Other Names 1

Doing Business AsCaledonia Community Clinic

Other Identifiers 1

Other1851792626Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 25D2138127

Caledonia Community Clinic · Caledonia, MS
Active · expires Oct 9, 2027
CLIA Number25D2138127
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorLisa J. Hudson
Laboratory Phone(662) 251-7389
Laboratory LocationCaledonia Community Clinic171 South Street, Caledonia, MS 39740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN COMER
Nurse Practitioner (Family)
171 SOUTH ST
CALEDONIA, MS 39740
Lowndes County (662) 855-0080
LISA JORDAN HUDSON FNP-C
Nurse Practitioner (Family)
171 SOUTH ST
CALEDONIA, MS 39740
Lowndes County (662) 855-0080
CALEDONIA COMMUNITY CLINIC, LLC
Family Medicine
171 SOUTH ST
CALEDONIA, MS 39740
Lowndes County (662) 855-0080

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 Fig Leaf, LLC's NPI number?

The NPI number for Fig Leaf, LLC is 1013426329. It was assigned to this organization in the NPPES registry on September 29, 2017. The provider is doing business as Caledonia Community Clinic.

Where is Fig Leaf, LLC located?

Fig Leaf, LLC is located at 171 South St, Caledonia, MS 39740. The listed phone number is (662) 251-7389.

What is Fig Leaf, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Fig Leaf, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2138127) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fig Leaf, LLC accept?

Health plans from Molina Healthcare list Fig Leaf, 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 Fig Leaf, LLC was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.