FAMILY HEALTH CARE CLINIC, INC.
NPI 1104059146
Clinic/Center - Federally Qualified Health Center (FQHC) in Bude, MS
About Family Health Care Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY HEALTH CARE CLINIC, INC. (NPI 1104059146) is a healthcare organization registered as a federally qualified health center (fqhc) in Bude, Mississippi and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Karina Marie Clayton, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Family Health Care Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
69Medicare enrollment records show 69 clinicians reassign Medicare billing to Family Health Care Clinic, Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 69Source: 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 25D2032129
Family Health Care Clinic Inc - Bude · Bude, 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 Family Health Care Clinic, Inc.'s NPI number?
The NPI number for Family Health Care Clinic, Inc. is 1104059146. It was assigned to this organization in the NPPES registry on August 25, 2009.
Where is Family Health Care Clinic, Inc. located?
Family Health Care Clinic, Inc. is located at 262 Pine St N, Bude, MS 39630. The listed phone number is (601) 825-7280.
What is Family Health Care Clinic, 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 Family Health Care Clinic, Inc. enrolled in Medicare?
Yes. Family Health Care Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Health Care Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians in 6 Medicare specialties reassign their Medicare billing to Family Health Care 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. The largest specialties are Nurse Practitioner (55), Family Practice (4) and Pediatric Medicine (4). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Health Care Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2032129) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Health Care Clinic, 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 Family Health Care Clinic, 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 Family Health Care Clinic, Inc. was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Family Health Care Clinic, Inc. · NPI 1104059146
Federally Qualified Health Center (FQHC) organization in Bude, Mississippi. Organization record, active in the CMS NPPES registry since August 25, 2009.
## Identity
- **NPI:** 1104059146 (Entity type: Organization)
- **Enumerated:** August 25, 2009
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Karina Clayton, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 262 PINE ST N, Bude, MS 39630
- **Phone:** (601) 825-7280 · **Fax:** (601) 825-8130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 69 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (55), Family Practice (4), Pediatric Medicine (4); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1104059146/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2018
- **Other identifiers:** Medicaid 03150760 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104059146) · Data from the CMS NPPES public registry.