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PRIMARY FAMILY MEDICAL CLINIC
NPI 1093204158
Nurse Practitioner in Byram, MS

Active since May 04, 2018
100 MARKER PLACE DR. STE D, BYRAM, MS 39272(601) 672-4661(769) 300-8068 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 29, 2019, May 4, 2018 (2 updates tracked since 2018).

About Primary Family Medical Clinic NPPES

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

PRIMARY FAMILY MEDICAL CLINIC (NPI 1093204158) is a healthcare organization registered as a nurse practitioner in Byram, Mississippi and active in the NPI registry since May 2018. The organization lists Sandra Faye Thomas, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1093204158
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePRIMARY FAMILY MEDICAL CLINIC
Location Address100 MARKER PLACE DR. STE DByram, MS 39272
Mailing Address100 Marketplace Dr Ste DByram, MS 39272-8974 · (601) 372-1221 · Fax (769) 300-8086
Phone(601) 672-4661
Fax(769) 300-8068
Organization SubpartNo
Authorized OfficialSandra Faye ThomasFamily Nurse Practitioner · (601) 372-1221
Enumeration DateMay 4, 2018
Last NPPES UpdateOctober 29, 20192 updates tracked since enumeration
✔ NPI 1093204158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · R772161
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 MARKER PLACE DR. STE D, Byram, MS 39272
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Other Names 1

Doing Business AsPrimary Family Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Primary Family Medical Clinic's NPI number?

The NPI number for Primary Family Medical Clinic is 1093204158. It was assigned to this organization in the NPPES registry on May 4, 2018.

Where is Primary Family Medical Clinic located?

Primary Family Medical Clinic is located at 100 Marker Place Dr. Ste D, Byram, MS 39272. The listed phone number is (601) 672-4661.

What is Primary Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Primary Family Medical Clinic was last updated on October 29, 2019. 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.