AMITE COUNTY MEDICAL SERVICES, INC.
NPI 1073634226
Clinic/Center - Federally Qualified Health Center (FQHC) in Liberty, MS
About Amite County Medical Services, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMITE COUNTY MEDICAL SERVICES, INC. (NPI 1073634226) is a healthcare organization registered as a federally qualified health center (fqhc) in Liberty, Mississippi and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Pam T. Poole, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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)
Amite County Medical Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Amite County Medical Services, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 25D0320010
Amite County Medical Services, Inc · Liberty, MSFrequently 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 Amite County Medical Services, Inc.'s NPI number?
The NPI number for Amite County Medical Services, Inc. is 1073634226. It was assigned to this organization in the NPPES registry on April 3, 2007.
Where is Amite County Medical Services, Inc. located?
Amite County Medical Services, Inc. is located at 102 West Freedom Drive, Liberty, MS 39645. The listed phone number is (601) 657-4326.
What is Amite County Medical Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Amite County Medical Services, Inc. enrolled in Medicare?
Yes. Amite County Medical Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amite County Medical Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Amite County Medical Services, Inc.. 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 (8), Family Practice (2) and Internal Medicine (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Amite County Medical Services, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0320010) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Amite County Medical Services, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Amite County Medical Services, Inc. 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 Amite County Medical Services, Inc. was last updated on March 31, 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.
# Amite County Medical Services, Inc. · NPI 1073634226
Federally Qualified Health Center (FQHC) organization in Liberty, Mississippi. Organization record, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1073634226 (Entity type: Organization)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Pam Poole, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 102 WEST FREEDOM DRIVE, Liberty, MS 39645-0511
- **Phone:** (601) 657-4326 · **Fax:** (601) 657-8867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (2), Internal Medicine (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2008
- **Other identifiers:** Medicaid 09010048 (MS); Medicaid 09013203 (MS); Medicare OSCAR/certification 251826 (MS); and 2 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1073634226) · Data from the CMS NPPES public registry.