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CROSSROADS FAMILY HEALTH CLINIC LLC
NPI 1114654423
Family Medicine in Corinth, MS

Active since August 05, 2022CLIA 25D1024743 · Certificate of Compliance
2427 PROPER ST, CORINTH, MS 38834(662) 286-2300(662) 286-7010 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crossroads Family Health Clinic Llc NPPES

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

CROSSROADS FAMILY HEALTH CLINIC LLC (NPI 1114654423) is a healthcare organization registered as a family medicine in Corinth, Mississippi and active in the NPI registry since August 2022. The organization holds a CLIA Certificate of Compliance certificate valid through April 20, 2027 and lists Mary Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1114654423
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSROADS FAMILY HEALTH CLINIC LLC
Location Address2427 PROPER STCorinth, MS 38834-5394
Mailing Address2427 Proper StCorinth, MS 38834-5394 · (662) 286-2300 · Fax (662) 286-7010
Phone(662) 286-2300
Fax(662) 286-7010
Organization SubpartNo
Authorized OfficialMary CarterOwner · (662) 286-2300
Enumeration DateAugust 5, 2022
NPPES CertifiedAugust 5, 2022
✔ NPI 1114654423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2427 PROPER ST, Corinth, MS 38834
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Crossroads Family Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Crossroads Family Health Clinic LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Joseph Pratt, MD
Family Practice
NPI 1417953233
121 PRATT DR SUITE 1A
Corinth, MS 38834
(662) 286-0088
✔ PECOS✔ Accepts MedicareSame address
Sylvia Moore, FNP
Nurse Practitioner
NPI 1538758289
2113 S TATE ST
Corinth, MS 38834
(662) 331-1497
✔ PECOS✔ Accepts Medicare1.1 mi
Debora Mcfalls, CFNP
Nurse Practitioner
NPI 1386679579
1801 S HARPER RD STE 7
Corinth, MS 38834
(662) 286-2300
✔ PECOS1.2 mi
Mary Carter, FNP-C
Nurse Practitioner
NPI 1316487994
1801 S HARPER RD STE 7
Corinth, MS 38834
(662) 286-2300
✔ PECOS✔ Accepts Medicare1.2 mi

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 of Compliance 25D1024743

Crossroads Family Health Clinic · Corinth, MS
Active · expires Apr 20, 2027
CLIA Number25D1024743
Laboratory TypePractitioner Other
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorBryan Jackson
Laboratory Phone(662) 286-2300
Laboratory LocationCrossroads Family Health Clinic2427 Proper St, Corinth, MS 38834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Crossroads Family Health Clinic LLC's NPI number?

The NPI number for Crossroads Family Health Clinic LLC is 1114654423. It was assigned to this organization in the NPPES registry on August 5, 2022.

Where is Crossroads Family Health Clinic LLC located?

Crossroads Family Health Clinic LLC is located at 2427 Proper St, Corinth, MS 38834. The listed phone number is (662) 286-2300.

What is Crossroads Family Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Crossroads Family Health Clinic LLC enrolled in Medicare?

Yes. Crossroads Family Health Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crossroads Family Health Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Crossroads Family Health Clinic LLC. 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 (3) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Crossroads Family Health Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D1024743) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crossroads Family Health Clinic LLC accept?

Health plans from Molina Healthcare list Crossroads Family Health Clinic LLC 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 Crossroads Family Health Clinic LLC was last updated on August 5, 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.