CREEKMORE CLINIC, P.L.L.C.
NPI 1073631164
Family Medicine in New Albany, MS
About Creekmore Clinic, P.l.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREEKMORE CLINIC, P.L.L.C. (NPI 1073631164) is a healthcare organization registered as a family medicine in New Albany, Mississippi and active in the NPI registry since March 2007. The organization lists Sam J Creekmore, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Creekmore Clinic, P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Creekmore Clinic, P.L.L.C., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Creekmore Clinic, P.L.L.C.'s NPI number?
The NPI number for Creekmore Clinic, P.L.L.C. is 1073631164. It was assigned to this organization in the NPPES registry on March 27, 2007.
Where is Creekmore Clinic, P.L.L.C. located?
Creekmore Clinic, P.L.L.C. is located at 216 Oxford Road, New Albany, MS 38652. The listed phone number is (662) 534-9042.
What is Creekmore Clinic, P.L.L.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Creekmore Clinic, P.L.L.C. enrolled in Medicare?
Yes. Creekmore Clinic, P.L.L.C. is registered in the Medicare PECOS enrollment system.
When is Creekmore Clinic, P.L.L.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Creekmore Clinic, P.L.L.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Creekmore Clinic, P.L.L.C.. 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. The largest specialties are Nurse Practitioner (6) and Family Practice (3). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Creekmore Clinic, P.L.L.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Creekmore Clinic, P.l.l.c. · NPI 1073631164
Family Medicine organization in New Albany, Mississippi. Organization record, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1073631164 (Entity type: Organization)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sam Creekmore, PARTNER
## Practice location
- **Address:** 216 OXFORD ROAD, New Albany, MS 38652-3115
- **Phone:** (662) 534-9042 · **Fax:** (662) 534-9707
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (3); 8 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1073631164) · Data from the CMS NPPES public registry.