LENA FAMILY MEDICAL, INC.
NPI 1184120883
Clinic/Center - Primary Care in Lena, MS

Active since April 02, 2018CLIA 25D2152751 · Waiver
1107 GRAND AVENUE, LENA, MS 39094(601) 654-3433(601) 654-0117 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2021, Oct 5, 2018 (2 updates tracked since 2018).

About Lena Family Medical, Inc. NPPES

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

LENA FAMILY MEDICAL, INC. (NPI 1184120883) is a healthcare organization registered as a primary care in Lena, Mississippi and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through August 15, 2028 and lists Rebecca Annette Johnston, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1184120883
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLENA FAMILY MEDICAL, INC.
Location Address1107 GRAND AVENUELena, MS 39094
Mailing Address1107 Grand Avenue, P.o. Box 295Lena, MS 39094 · (601) 654-3433 · Fax (601) 654-0117
Fax(601) 654-0117
Organization SubpartNo
Authorized OfficialRebecca Annette JohnstonFamily Nurse Practitioner · (601) 654-3433
Enumeration DateApril 2, 2018
Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1184120883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1107 GRAND AVENUE, Lena, MS 39094

Accepted 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)

Lena Family Medical, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lena Family Medical, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1932619103
1107 GRAND AVE
Lena, MS 39094
(601) 654-3433
✔ PECOS✔ Accepts MedicareSame address

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 Waiver 25D2152751

Lena Family Medical Inc · Lena, MS
Active · expires Aug 15, 2028
CLIA Number25D2152751
Laboratory TypePractitioner Other
Certificate Effective DateAugust 16, 2026
Certificate Expiration DateAugust 15, 2028
Laboratory DirectorMs. Rebecca A. Brown
Laboratory Phone(601) 654-3433
Laboratory LocationLena Family Medical Inc1107 Grand Ave, Lena, MS 39094
CLIA data matches this NPI record on: Address 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 Lena Family Medical, Inc.'s NPI number?

The NPI number for Lena Family Medical, Inc. is 1184120883. It was assigned to this organization in the NPPES registry on April 2, 2018.

Where is Lena Family Medical, Inc. located?

Lena Family Medical, Inc. is located at 1107 Grand Avenue, Lena, MS 39094. The listed phone number is (601) 654-3433.

What is Lena Family Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Lena Family Medical, Inc. enrolled in Medicare?

Yes. Lena Family Medical, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lena Family Medical, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lena Family Medical, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lena Family Medical, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2152751) is associated with this NPI, valid through August 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lena Family Medical, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Lena Family Medical, Inc. 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 Lena Family Medical, Inc. was last updated on March 4, 2021. 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.