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ROSEDALE FAMILY MEDICAL CENTER, P.C.
NPI 1043223340
Family Medicine in Rosedale, MS

Active since August 15, 2006CLIA 25D2156298 · Waiver
512 LEVEE ST., ROSEDALE, MS 38769(662) 759-6806(662) 759-6771 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rosedale Family Medical Center, P.c. NPPES

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

ROSEDALE FAMILY MEDICAL CENTER, P.C. (NPI 1043223340) is a healthcare organization registered as a family medicine in Rosedale, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists John William Lewis, President, as its authorized official.

NPPES Registry Identity

NPI1043223340
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSEDALE FAMILY MEDICAL CENTER, P.C.
Location Address512 LEVEE ST.Rosedale, MS 38769-0310
Mailing AddressP.o.box 310Rosedale, MS 38769-0310 · (662) 759-6806 · Fax (662) 759-6771
Phone(662) 759-6806
Fax(662) 759-6771
Organization SubpartNo
Authorized OfficialJohn William LewisPresident · (662) 759-6806
Enumeration DateAugust 15, 2006
Last NPPES UpdateApril 29, 2008
✔ NPI 1043223340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 09592
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
512 LEVEE ST., Rosedale, MS 38769
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Other Identifiers 2

Medicare ID-Type Unspecified258926
Medicaid09014540MS

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 SINGLE SPECIALTY GROUP

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 25D2156298

Rosedale Family Clinic · Rosedale, MS
Active · expires Oct 14, 2026
CLIA Number25D2156298
Laboratory TypePractitioner Other
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorClare Moore
Laboratory Phone(662) 759-6806
Laboratory LocationRosedale Family Clinic1302 S Main St, Rosedale, MS 38769
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rosedale Family Medical Center, P.C.'s NPI number?

The NPI number for Rosedale Family Medical Center, P.C. is 1043223340. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Rosedale Family Medical Center, P.C. located?

Rosedale Family Medical Center, P.C. is located at 512 Levee St., Rosedale, MS 38769. The listed phone number is (662) 759-6806.

What is Rosedale Family Medical Center, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Rosedale Family Medical Center, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2156298) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rosedale Family Medical Center, P.C. was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.