G A CARMICHAEL FAMILY HEALTH CENTER, INC.
NPI 1013569847
Clinic/Center - Federally Qualified Health Center (FQHC) in Canton, MS

Active since July 11, 2019CLIA Certified · 5 labs
1668 W PEACE ST, CANTON, MS 39046(601) 859-5213(601) 859-8771 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2021, Jul 11, 2019 (2 updates tracked since 2019).

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 25D2194376
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 10-20-2026

About G A CARMICHAEL FAMILY HEALTH CENTER, INC.

This page provides the complete NPI Profile along with additional information for G A Carmichael Family Health Center, Inc., a primary care provider established in Canton, Mississippi operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1013569847 assigned on July 2019. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Joseph Davis (Chief Operations Officer)

NPI
1013569847 Verify this NPI
Provider Name
G A CARMICHAEL FAMILY HEALTH CENTER, INC.
Entity Type
Organization
Location Address
1668 W PEACE ST CANTON, MS 39046
Location Phone
(601) 859-5213
Location Fax
(601) 859-8771
Mailing Address
PO BOX 588 CANTON, MS 39046
Mailing Phone
(601) 859-5213
Mailing Fax
(601) 859-8771
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2019
Last Update Date
05-20-2021
Code Navigator

A primary care provider (PCP) like G A Carmichael Family Health Center, Inc. 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

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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

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

JOSEPH DAVIS

Authorized Official Title
CHIEF OPERATIONS OFFICER
Authorized Official Phone
(601) 859-5213

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
25D2194376
Facility Type
Federally Qualified Health Center
Certificate Effective Date
October 21, 2024
Certificate Expiration Date
October 20, 2026
Laboratory Director
DR. JOHN FARMER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to G A Carmichael Family Health Center, Inc. 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 G A CARMICHAEL FAMILY HEALTH CENTER, INC.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist
1668 W PEACE ST
CANTON, MS 39046
Nurse Practitioner
1668 W PEACE ST
CANTON, MS 39046
Pediatrics
1668 W PEACE ST
CANTON, MS 39046
Dentist
1668 W PEACE ST
CANTON, MS 39046
Physician Assistant
1668 W PEACE ST
CANTON, MS 39046
Dentist
1668 W PEACE ST
CANTON, MS 39046
Family Medicine
1668 W PEACE ST
CANTON, MS 39046
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Family Medicine
1668 W PEACE ST
CANTON, MS 39046
Clinic/Center (Federally Qualified Health Center (FQHC))
1668 W PEACE ST
CANTON, MS 39046
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Dentist
1668 W PEACE ST
CANTON, MS 39046
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Licensed Practical Nurse
1668 W PEACE ST
CANTON, MS 39046
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Family Medicine
1668 W PEACE ST
CANTON, MS 39046
Obstetrics & Gynecology
1668 W PEACE ST
CANTON, MS 39046
Family Medicine
1668 W PEACE ST
CANTON, MS 39046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013569847, enumerated as an "organization" on July 11, 2019.

The provider is located at 1668 W PEACE ST CANTON, MS 39046 and the phone number is (601) 859-5213.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).