YAZOO CITY MEDICAL CLINIC PA
NPI 1174696330
Family Medicine in Yazoo City, MS

Active since November 16, 2006CLIA 25D0317885 · Certificate of Compliance
805 E FIFTEENTH ST, YAZOO CITY, MS 39194(662) 746-6083(662) 746-1954 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yazoo City Medical Clinic Pa NPPES

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

YAZOO CITY MEDICAL CLINIC PA (NPI 1174696330) is a healthcare organization registered as a family medicine in Yazoo City, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 21, 2028 and lists William P Thompson, President, as its authorized official.

NPPES Registry Identity

NPI1174696330
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYAZOO CITY MEDICAL CLINIC PA
Location Address805 E FIFTEENTH STYazoo City, MS 39194-7607
Mailing AddressPo Box 1509Yazoo City, MS 39194-1509 · (662) 746-6083 · Fax (662) 746-1954
Fax(662) 746-1954
Organization SubpartNo
Authorized OfficialWilliam P ThompsonPresident · (662) 746-6083
Enumeration DateNovember 16, 2006
Last NPPES UpdateMarch 13, 2008
NPI 1174696330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 05855
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.
805 E FIFTEENTH ST, Yazoo City, MS 39194

Other Identifiers 3

Medicaid09012127MS
Medicare NSC0546990001
Medicare PINC00416

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

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 25D0317885

Yazoo Family Medicine PA Dba Yazoo City Med Clinic · Yazoo City, MS
Active · expires Mar 21, 2028
CLIA Number25D0317885
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorHeath E. Scott
Laboratory Phone(662) 746-6083
Laboratory LocationYazoo Family Medicine PA Dba Yazoo City Med Clinic805 East 15th Street, Yazoo City, MS 39194
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

Family Medicine
805 E FIFTEENTH ST
YAZOO CITY, MS 39194
Nurse Practitioner (Family)
805 E FIFTEENTH ST
YAZOO CITY, MS 39194
Nurse Practitioner (Family)
805 E FIFTEENTH ST
YAZOO CITY, MS 39194
Family Medicine
805 E FIFTEENTH ST
YAZOO CITY, MS 39194

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 Yazoo City Medical Clinic PA's NPI number?

The NPI number for Yazoo City Medical Clinic PA is 1174696330. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Yazoo City Medical Clinic PA located?

Yazoo City Medical Clinic PA is located at 805 E Fifteenth St, Yazoo City, MS 39194. The listed phone number is (662) 746-6083.

What is Yazoo City Medical Clinic PA's specialty?

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

Does Yazoo City Medical Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0317885) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Yazoo City Medical Clinic PA was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.