HICKORY FAMILY MEDICAL CLINIC INC
NPI 1093284366
Family Medicine in Hickory, MS
About Hickory Family Medical Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HICKORY FAMILY MEDICAL CLINIC INC (NPI 1093284366) is a healthcare organization registered as a family medicine in Hickory, Mississippi and active in the NPI registry since November 2018. The organization holds a CLIA Microscopy certificate valid through August 25, 2027 and lists Andrea Morgan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hickory Family Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hickory Family Medical Clinic Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 25D0318735
Hickory Family Medical Clinic · Hickory, 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 Hickory Family Medical Clinic Inc's NPI number?
The NPI number for Hickory Family Medical Clinic Inc is 1093284366. It was assigned to this organization in the NPPES registry on November 16, 2018.
Where is Hickory Family Medical Clinic Inc located?
Hickory Family Medical Clinic Inc is located at 18199 Highway 80, Hickory, MS 39332. The listed phone number is (601) 646-5445.
What is Hickory Family Medical Clinic Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hickory Family Medical Clinic Inc enrolled in Medicare?
Yes. Hickory Family Medical Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hickory Family Medical Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Hickory Family Medical Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hickory Family Medical Clinic Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0318735) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Hickory Family Medical Clinic Inc was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Hickory Family Medical Clinic Inc · NPI 1093284366
Family Medicine organization in Hickory, Mississippi. Organization record, active in the CMS NPPES registry since November 16, 2018.
## Identity
- **NPI:** 1093284366 (Entity type: Organization)
- **Enumerated:** November 16, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Andrea Morgan, OWNER
## Practice location
- **Address:** 18199 HIGHWAY 80, Hickory, MS 39332-3452
- **Phone:** (601) 646-5445
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093284366) · Data from the CMS NPPES public registry.