1. Home
  2. Directory
  3. Mississippi
  4. Terry
  5. Nurse Practitioner
  6. NPI Profile

TERRY FAMILY MEDICAL CLINIC
NPI 1063629376
Nurse Practitioner - Family in Terry, MS

Active since May 17, 2007CLIA 25D1100328 · Waiver
120 W RAYMOND STREET, TERRY, MS 39170(601) 878-5115(601) 878-5164 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Terry Family Medical Clinic NPPES

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

TERRY FAMILY MEDICAL CLINIC (NPI 1063629376) is a healthcare organization registered as a family in Terry, Mississippi and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Gloria Areghan, Owner, as its authorized official.

NPPES Registry Identity

NPI1063629376
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTERRY FAMILY MEDICAL CLINIC
Location Address120 W RAYMOND STREETTerry, MS 39170-0970
Mailing AddressPo Box 370Terry, MS 39170-0370 · (601) 878-5115 · Fax (601) 878-5164
Phone(601) 878-5115
Fax(601) 878-5164
Organization SubpartNo
Authorized OfficialGloria AreghanOwner · (601) 878-5115
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063629376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
120 W RAYMOND STREET, Terry, MS 39170
Open in Google Maps ↗

Other Identifiers 1

Medicaid09015232MS

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

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 25D1100328

Terry Family Medical Clinic · Jackson, MS
Active · expires Jun 2, 2027
CLIA Number25D1100328
Laboratory TypePractitioner Other
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorGloria Areghan
Laboratory Phone(601) 878-5115
Laboratory LocationTerry Family Medical Clinic970 I 20 Frontage Rd, Jackson, MS 39201
CLIA data matches this NPI record on: Name 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 Terry Family Medical Clinic's NPI number?

The NPI number for Terry Family Medical Clinic is 1063629376. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Terry Family Medical Clinic located?

Terry Family Medical Clinic is located at 120 W Raymond Street, Terry, MS 39170. The listed phone number is (601) 878-5115.

What is Terry Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Terry Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1100328) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Terry Family Medical Clinic accept?

Health plans from Molina Healthcare list Terry Family Medical Clinic 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 Terry Family Medical Clinic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.