CLINIC 221, FAMILY HEALTH CARE, LLC
NPI 1073089843
Clinic/Center - Primary Care in Senatobia, MS

Active since October 19, 2018CLIA 25D2156907 · Waiver
400 NORTHWEST PLZ, SENATOBIA, MS 38668(662) 301-8330 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clinic 221, Family Health Care, Llc NPPES

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

CLINIC 221, FAMILY HEALTH CARE, LLC (NPI 1073089843) is a healthcare organization registered as a primary care in Senatobia, Mississippi and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through October 25, 2028 and lists Beverly Warren Briscoe, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1073089843
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLINIC 221, FAMILY HEALTH CARE, LLC
Location Address400 NORTHWEST PLZSenatobia, MS 38668-1740
Mailing Address400 Northwest PlzSenatobia, MS 38668-1740
Organization SubpartNo
Authorized OfficialBeverly Warren BriscoeFnp/owner · (662) 301-8330
Enumeration DateOctober 19, 2018
✔ NPI 1073089843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
400 NORTHWEST PLZ, Senatobia, MS 38668

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinic 221, Family Health Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Clinic 221, Family Health Care, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1942730684
400 NORTHWEST PLZ
Senatobia, MS 38668
(662) 301-8330
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831063965
400 NW PLAZA DR.
Senatobia, MS 38668
(662) 301-8330
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710498746
400 NORTHWEST PLZ
Senatobia, MS 38668
(662) 301-8330
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184629206
403 GETWELL DR STE B
Senatobia, MS 38668
(662) 301-1128
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1932115094
104 N ROBINSON ST
Senatobia, MS 38668
(662) 562-0411
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1225699325
400 NORTHWEST PLZ
Senatobia, MS 38668
(662) 301-8330
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1295419257
400 NORTHWEST PLZ
Senatobia, MS 38668
(662) 298-2144
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1942695929
423 CENTRAL AVE
Coldwater, MS 38618
(662) 622-7011
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1811523590
4962 HIGHWAY 305
Coldwater, MS 38618
(662) 370-5067
✔ PECOS✔ Accepts Medicare8.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 25D2156907

Clinic 221 Family Health Care, LLC · Senatobia, MS
Active · expires Oct 25, 2028
CLIA Number25D2156907
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2026
Certificate Expiration DateOctober 25, 2028
Laboratory DirectorBeverly W. Briscoe
Laboratory Phone(662) 301-8330
Laboratory LocationClinic 221 Family Health Care, LLC400 Northwest Plaza, Senatobia, MS 38668
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 Clinic 221, Family Health Care, LLC's NPI number?

The NPI number for Clinic 221, Family Health Care, LLC is 1073089843. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is Clinic 221, Family Health Care, LLC located?

Clinic 221, Family Health Care, LLC is located at 400 Northwest Plz, Senatobia, MS 38668. The listed phone number is (662) 301-8330.

What is Clinic 221, Family Health Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Clinic 221, Family Health Care, LLC enrolled in Medicare?

Yes. Clinic 221, Family Health Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinic 221, Family Health Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Clinic 221, Family Health Care, 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. Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinic 221, Family Health Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2156907) is associated with this NPI, valid through October 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinic 221, Family Health Care, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Clinic 221, Family Health Care, 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 Clinic 221, Family Health Care, LLC was last updated on October 19, 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.