SUMRALL FAMILY HEALTH CENTER
NPI 1184694036
Clinic/Center - Federally Qualified Health Center (FQHC) in Sumrall, MS

Active since January 24, 2006CLIA 25D0700257 · Microscopy
1016 HIGHWAY 42, SUMRALL, MS 39482(601) 758-4214(601) 758-0614 Get Directions Write a Review

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

Record update history: Feb 5, 2026, Apr 15, 2021 (2 updates tracked since 2021).

About Sumrall Family Health Center NPPES

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

SUMRALL FAMILY HEALTH CENTER (NPI 1184694036) is a healthcare organization registered as a federally qualified health center (fqhc) in Sumrall, Mississippi and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through December 15, 2026 and lists Janice Robinson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1184694036
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSUMRALL FAMILY HEALTH CENTER
Location Address1016 HIGHWAY 42Sumrall, MS 39482-9634
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-3700 · Fax (601) 450-2493
Fax(601) 758-0614
Organization SubpartYesParent: Southeast Mississippi Rural Health Initiative, Inc
Authorized OfficialJanice RobinsonChief Executive Officer · (601) 545-8700
Enumeration DateJanuary 24, 2006
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1184694036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1016 HIGHWAY 42, Sumrall, MS 39482

Other Names 1

Doing Business AsSumrall Family Health Center

Other Identifiers 1

Medicaid009013879MS

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)

Sumrall Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Sumrall Family Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner39
Family Practice8
Clinical Social Worker4
Infectious Disease3
Internal Medicine2
Obstetrics/Gynecology2
Emergency Medicine1
Mental Health Counselor1
2 other specialties2

Nearest to this location (20)

See all 62
Family Practice
NPI 1881685782
1016 HIGHWAY 42
Sumrall, MS 39482
(601) 758-4214
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1649480971
1016 HIGHWAY 42
Sumrall, MS 39482
(601) 758-4215
✔ PECOS✔ Accepts Medicare5.5 mi
Nurse Practitioner
NPI 1134078736
100 HIGHWAY 535
Seminary, MS 39479
(601) 722-3208
✔ PECOS11 mi
Nurse Practitioner
NPI 1497926265
100 HIGHWAY 535
Seminary, MS 39479
(601) 722-3208
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1821525593
100 HIGHWAY 535
Seminary, MS 39479
(601) 722-3208
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1689664039
670 WEATHERSBY RD STE 140
Hattiesburg, MS 39402
(601) 318-0669
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1487631461
118 COLLEGE DR
Hattiesburg, MS 39406
(601) 266-6087
✔ PECOS✔ Accepts Medicare14 mi
Infectious Disease
NPI 1700309432
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare15 mi
Infectious Disease
NPI 1851703201
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare15 mi
Infectious Disease
NPI 1235558149
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1821834870
301 HUTCHINSON AVE
Hattiesburg, MS 39401
(601) 450-0310
✔ PECOS✔ Accepts Medicare16 mi
Mental Health Counselor
NPI 1770963134
2117 BROADWAY DR
Hattiesburg, MS 39402
(601) 288-8050
✔ PECOS✔ Accepts Medicare16 mi
Optometry
NPI 1669524278
600 W PINE ST
Hattiesburg, MS 39401
(601) 545-2020
✔ PECOS17 mi
Family Practice
NPI 1467185629
404 S MAIN ST
New Augusta, MS 39462
(601) 964-8391
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1255392841
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare19 mi
Clinical Social Worker
NPI 1649715004
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 582-2619
✔ PECOS19 mi
Clinical Social Worker
NPI 1750399531
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1144626946
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare19 mi
Internal Medicine
NPI 1093796500
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare19 mi
Pediatric Medicine
NPI 1952630089
180 W S F TATUM BLVD
Hattiesburg, MS 39401
(601) 450-0805
✔ PECOS20 mi
See all 62 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 25D0700257

Sumrall Family Health Center · Sumrall, MS
Active · expires Dec 15, 2026
CLIA Number25D0700257
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorQuenyatta Echols-Williams
Laboratory Phone(601) 758-4214
Laboratory LocationSumrall Family Health Center1016 Hwy 42, Sumrall, MS 39482
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Sumrall Family Health Center's NPI number?

The NPI number for Sumrall Family Health Center is 1184694036. It was assigned to this organization in the NPPES registry on January 24, 2006.

Where is Sumrall Family Health Center located?

Sumrall Family Health Center is located at 1016 Highway 42, Sumrall, MS 39482. The listed phone number is (601) 758-4214.

What is Sumrall Family Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Sumrall Family Health Center enrolled in Medicare?

Yes. Sumrall Family Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sumrall Family Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 10 Medicare specialties reassign their Medicare billing to Sumrall Family Health Center. 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 (39), Family Practice (8) and Clinical Social Worker (4). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sumrall Family Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0700257) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sumrall Family Health Center accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Sumrall Family Health Center 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 Sumrall Family Health Center was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.