METTETAL FAMILY MEDICINE
NPI 1083786727
Family Medicine in Sardis, MS
About Mettetal Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METTETAL FAMILY MEDICINE (NPI 1083786727) is a healthcare organization registered as a family medicine in Sardis, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 20, 2027 and lists Penny Harrison, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
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)
Mettetal Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 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
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Mettetal Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Compliance 25D0869512
Mettetal Family Medicine · Sardis, 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 Cary N Mettetal's NPI number?
The NPI number for Cary N Mettetal is 1083786727. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Mettetal Family Medicine.
Where is Cary N Mettetal located?
Cary N Mettetal is located at 401 E Lee St, Sardis, MS 38666. The listed phone number is (662) 487-0004.
What is Cary N Mettetal's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cary N Mettetal enrolled in Medicare?
Yes. Cary N Mettetal is registered in the Medicare PECOS enrollment system.
When is Cary N Mettetal'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 October 31, 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 Cary N Mettetal?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Cary N Mettetal. 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 (5) and Family Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cary N Mettetal hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D0869512) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cary N Mettetal 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 Cary N Mettetal 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 Cary N Mettetal was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mettetal Family Medicine · NPI 1083786727
Family Medicine organization in Sardis, Mississippi. Organization record, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1083786727 (Entity type: Organization)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Cary N Mettetal
- **Organization subpart:** No
- **Authorized official:** Penny Harrison, OFFICE MANAGER
## Practice location
- **Address:** 401 E LEE ST, Sardis, MS 38666-1227
- **Phone:** (662) 487-0004 · **Fax:** (662) 487-0006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2023
- **Other identifiers:** Medicaid 09015623 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083786727) · Data from the CMS NPPES public registry.