1. Home
  2. Directory
  3. Mississippi
  4. Oxford
  5. Clinic Center
  6. NPI Profile

WHITE OAK FAMILY MEDICINE CLINIC, LLC
NPI 1073759502
Clinic/Center - Primary Care in Oxford, MS

Active since January 06, 2009CLIA 25D1093490 · Waiver
1190 S 18TH STREET EXT, OXFORD, MS 38655(662) 236-1927(662) 236-3727 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Oak Family Medicine Clinic, Llc NPPES

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

WHITE OAK FAMILY MEDICINE CLINIC, LLC (NPI 1073759502) is a healthcare organization registered as a primary care in Oxford, Mississippi and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Erik S Richardson, Owner, as its authorized official.

NPPES Registry Identity

NPI1073759502
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWHITE OAK FAMILY MEDICINE CLINIC, LLC
Location Address1190 S 18TH STREET EXTOxford, MS 38655-5378
Mailing Address1190 S 18th Street ExtOxford, MS 38655-5378 · (662) 236-1927 · Fax (662) 236-3727
Phone(662) 236-1927
Fax(662) 236-3727
Organization SubpartNo
Authorized OfficialErik S RichardsonOwner · (662) 236-1927
Enumeration DateJanuary 6, 2009
Last NPPES UpdateJanuary 11, 2010
✔ NPI 1073759502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · 17356
1190 S 18TH STREET EXT, Oxford, MS 38655
Open in Google Maps ↗

Other Identifiers 2

Other302G088746MS · Group Ptan
Other302I088746MS · Individual Ptan

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 25D1093490

White Oak Family Medicine Clinic, LLC · Oxford, MS
Active · expires Jan 4, 2028
CLIA Number25D1093490
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorErik S. Richardson
Laboratory Phone(662) 236-1927
Laboratory LocationWhite Oak Family Medicine Clinic, LLC1306 Belk Blvd, Oxford, MS 38655
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIK SCOTT RICHARDSON M.D.
Family Medicine
1190 S 18TH STREET EXT
OXFORD, MS 38655
Lafayette County (662) 236-1927
MRS. JENNIFER REBECCA MOORE A.T., C., M.ED.
Specialist/Technologist (Athletic Trainer)
1190 S 18TH STREET EXT
OXFORD, MS 38655
Lafayette County (662) 234-0424
RUSSELL TALMAGE JOHNSON ATC
Specialist/Technologist (Athletic Trainer)
1190 S 18TH STREET EXT
OXFORD, MS 38655
Lafayette County (662) 234-0424

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 White Oak Family Medicine Clinic, LLC's NPI number?

The NPI number for White Oak Family Medicine Clinic, LLC is 1073759502. It was assigned to this organization in the NPPES registry on January 6, 2009.

Where is White Oak Family Medicine Clinic, LLC located?

White Oak Family Medicine Clinic, LLC is located at 1190 S 18th Street Ext, Oxford, MS 38655. The listed phone number is (662) 236-1927.

What is White Oak Family Medicine Clinic, LLC's specialty?

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

Does White Oak Family Medicine Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1093490) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for White Oak Family Medicine Clinic, LLC was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.