AURELIA JONES - TAYLOR ADMINISTRATIVE COMPLEX
NPI 1104574847
Clinic/Center - Federally Qualified Health Center (FQHC) in Clarksdale, MS
About Aurelia Jones - Taylor Administrative Complex NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AURELIA JONES - TAYLOR ADMINISTRATIVE COMPLEX (NPI 1104574847) is a healthcare organization registered as a federally qualified health center (fqhc) in Clarksdale, Mississippi and active in the NPI registry since March 2022. The organization lists Candace L Fondren, Revenue Cycle Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Aurelia Jones - Taylor Administrative Complex is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 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
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Aurelia Jones - Taylor Administrative Complex, which bills Medicare for the services they deliver. Of these, 6 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 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Aaron E. Henry Community Health's NPI number?
The NPI number for Aaron E. Henry Community Health is 1104574847. It was assigned to this organization in the NPPES registry on March 11, 2022. The provider is doing business as Aurelia Jones - Taylor Administrative Complex.
Where is Aaron E. Henry Community Health located?
Aaron E. Henry Community Health is located at 600 Ohio Ave, Clarksdale, MS 38614. The listed phone number is (662) 624-4292.
What is Aaron E. Henry Community Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Aaron E. Henry Community Health enrolled in Medicare?
Yes. Aaron E. Henry Community Health is registered in the Medicare PECOS enrollment system.
When is Aaron E. Henry Community Health'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 December 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 Aaron E. Henry Community Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 6 Medicare specialties reassign their Medicare billing to Aaron E. Henry Community Health. 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 (12), Family Practice (5) and Internal Medicine (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Aaron E. Henry Community Health was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Aurelia Jones - Taylor Administrative Complex · NPI 1104574847
Federally Qualified Health Center (FQHC) organization in Clarksdale, Mississippi. Organization record, active in the CMS NPPES registry since March 11, 2022.
## Identity
- **NPI:** 1104574847 (Entity type: Organization)
- **Enumerated:** March 11, 2022
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Aaron E. Henry Community Health
- **Organization subpart:** Yes (part of Aaron E. Henry Community Health)
- **Authorized official:** Candace Fondren, REVENUE CYCLE MANAGER
## Practice location
- **Address:** 600 OHIO AVE, Clarksdale, MS 38614-6020
- **Phone:** (662) 624-4292 · **Fax:** (662) 351-3303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 23 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Family Practice (5), Internal Medicine (3); 6 practice within 10 miles; [full list](https://npiprofile.com/npi/1104574847/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2022
- **Other identifiers:** Medicaid 09010039 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1104574847) · Data from the CMS NPPES public registry.