COMMUNITY 1ST FAMILY CLINIC LLC
NPI 1043189335
Clinic/Center - Primary Care in Collins, MS
About Community 1st Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY 1ST FAMILY CLINIC LLC (NPI 1043189335) is a healthcare organization registered as a primary care in Collins, Mississippi and active in the NPI registry since November 2025. The organization lists Regina Lee, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community 1st Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Community 1st Family Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Community 1st Family Clinic LLC's NPI number?
The NPI number for Community 1st Family Clinic LLC is 1043189335. It was assigned to this organization in the NPPES registry on November 4, 2025.
Where is Community 1st Family Clinic LLC located?
Community 1st Family Clinic LLC is located at 309 Main St Ste A, Collins, MS 39428. The listed phone number is (601) 641-4070.
What is Community 1st Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Community 1st Family Clinic LLC enrolled in Medicare?
Yes. Community 1st Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community 1st Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Community 1st Family Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Community 1st Family Clinic LLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Community 1st Family Clinic Llc · NPI 1043189335
Primary Care organization in Collins, Mississippi. Organization record, active in the CMS NPPES registry since November 4, 2025.
## Identity
- **NPI:** 1043189335 (Entity type: Organization)
- **Enumerated:** November 4, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Regina Lee, PROVIDER
## Practice location
- **Address:** 309 MAIN ST STE A, Collins, MS 39428-6197
- **Phone:** (601) 641-4070 · **Fax:** (601) 975-1296
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043189335) · Data from the CMS NPPES public registry.