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PREMIER FAMILY AND URGENT CARE
NPI 1104383389
Nurse Practitioner - Family in Belden, MS

Active since February 25, 2019CLIA 25D2009498 · Waiver
2394 MCCULLOUGH BLVD, BELDEN, MS 38826(622) 053-0236(844) 465-9102 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2020, Nov 15, 2019, Jul 12, 2019 and 1 more (4 updates tracked since 2019).

About Premier Family And Urgent Care NPPES

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

PREMIER FAMILY AND URGENT CARE (NPI 1104383389) is a healthcare organization registered as a family in Belden, Mississippi and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Jessica Hicks-robertson, Owner, as its authorized official.

NPPES Registry Identity

NPI1104383389
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePREMIER FAMILY AND URGENT CARE
Location Address2394 MCCULLOUGH BLVDBelden, MS 38826-9579
Mailing Address2394 Mccullough BlvdBelden, MS 38826-9579 · (662) 269-1774 · Fax (844) 465-9102
Phone(622) 053-0236
Fax(844) 465-9102
Organization SubpartNo
Authorized OfficialJessica Hicks-robertsonOwner · (662) 840-4577
Enumeration DateFebruary 25, 2019
Last NPPES UpdateAugust 31, 20204 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1104383389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2394 MCCULLOUGH BLVD, Belden, MS 38826
Open in Google Maps ↗

Other Identifiers 1

Medicaid03403770MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 25D2009498

Premier Family & Urgent Care Clinic · Mooreville, MS
Active · expires Jul 5, 2028
CLIA Number25D2009498
Laboratory TypePractitioner Other
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorJessica Robertson
Laboratory Phone(662) 840-4577
Laboratory LocationPremier Family & Urgent Care Clinic710 Hwy 371, Mooreville, MS 38857
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

BOA VIDA HOSPITAL OF ABERDEEN, MS LLC
Clinic/Center (Rural Health)
2394 MCCULLOUGH BLVD
BELDEN, MS 38826
Lee County (662) 269-1774
ASHLI KOVALICK FNP-C
Nurse Practitioner
2394 MCCULLOUGH BLVD
BELDEN, MS 38826
Lee County (662) 205-3023

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 Premier Family And Urgent Care's NPI number?

The NPI number for Premier Family And Urgent Care is 1104383389. It was assigned to this organization in the NPPES registry on February 25, 2019.

Where is Premier Family And Urgent Care located?

Premier Family And Urgent Care is located at 2394 Mccullough Blvd, Belden, MS 38826. The listed phone number is (622) 053-0236.

What is Premier Family And Urgent Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Premier Family And Urgent Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2009498) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Family And Urgent Care accept?

Health plans from Molina Healthcare list Premier Family And Urgent Care 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 Premier Family And Urgent Care was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.