FIRST CHOICE FAMILY MEDICAL CLINIC, LLC
NPI 1124644968
Nurse Practitioner - Family in Brooksville, MS

Active since June 17, 2020CLIA 25D2209287 · Waiver
75 HIGHWAY 388, BROOKSVILLE, MS 39739(662) 738-5544 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2021, Jun 17, 2020 (2 updates tracked since 2020).

About First Choice Family Medical Clinic, Llc NPPES

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

FIRST CHOICE FAMILY MEDICAL CLINIC, LLC (NPI 1124644968) is a healthcare organization registered as a family in Brooksville, Mississippi and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Kathy T Glover, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124644968
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFIRST CHOICE FAMILY MEDICAL CLINIC, LLC
Location Address75 HIGHWAY 388Brooksville, MS 39739
Mailing AddressPo Box 466Macon, MS 39341-0466 · (662) 738-5454 · Fax (662) 738-5457
Organization SubpartNo
Authorized OfficialKathy T GloverBusiness Office Manager · (662) 738-5454
Enumeration DateJune 17, 2020
Last NPPES UpdateMarch 15, 20222 updates tracked since enumeration
NPPES CertifiedMarch 15, 2022
NPI 1124644968 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
75 HIGHWAY 388, Brooksville, MS 39739

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

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 25D2209287

First Choice Family Medical Clinic · Brooksville, MS
Active · expires Jan 11, 2027
CLIA Number25D2209287
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorHolly C. Rigdon
Laboratory Phone(662) 738-5454
Laboratory LocationFirst Choice Family Medical Clinic75 Ms Hwy 388, Brooksville, MS 39739
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 First Choice Family Medical Clinic, LLC's NPI number?

The NPI number for First Choice Family Medical Clinic, LLC is 1124644968. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is First Choice Family Medical Clinic, LLC located?

First Choice Family Medical Clinic, LLC is located at 75 Highway 388, Brooksville, MS 39739. The listed phone number is (662) 738-5544.

What is First Choice Family Medical Clinic, LLC's specialty?

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

Does First Choice Family Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2209287) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does First Choice Family Medical Clinic, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list First Choice Family Medical 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 First Choice Family Medical Clinic, LLC was last updated on March 15, 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.