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BOUNDS FAMILY MEDICAL
NPI 1194365338
Clinic/Center - Rural Health in Fayette, MS

Active since January 15, 2020CLIA 25D2169469 · Waiver
870 MAIN ST STE A, FAYETTE, MS 39069(601) 809-0882(601) 809-0883 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bounds Family Medical NPPES

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

BOUNDS FAMILY MEDICAL (NPI 1194365338) is a healthcare organization registered as a rural health in Fayette, Mississippi and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Amber Henderson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194365338
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOUNDS FAMILY MEDICAL
Location Address870 MAIN ST STE AFayette, MS 39069-5695
Mailing AddressPo Box 91Fayette, MS 39069-0091 · (601) 809-0882 · Fax (601) 809-0883
Phone(601) 809-0882
Fax(601) 809-0883
Organization SubpartNo
Authorized OfficialAmber HendersonOffice Manager · (601) 809-0882
Enumeration DateJanuary 15, 2020
✔ NPI 1194365338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
870 MAIN ST STE A, Fayette, MS 39069
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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 25D2169469

Bounds Family Medical · Fayette, MS
Active · expires Jul 21, 2027
CLIA Number25D2169469
Laboratory TypePractitioner Other
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorMatthew K. Bounds
Laboratory Phone(601) 809-0882
Laboratory LocationBounds Family Medical821 Main St, Fayette, MS 39069
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. VERONICA R HUTCHINS-CLEMONS NP
Nurse Practitioner (Gerontology)
870 MAIN ST STE A
FAYETTE, MS 39069
Jefferson County (601) 809-0882

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 Bounds Family Medical's NPI number?

The NPI number for Bounds Family Medical is 1194365338. It was assigned to this organization in the NPPES registry on January 15, 2020.

Where is Bounds Family Medical located?

Bounds Family Medical is located at 870 Main St Ste A, Fayette, MS 39069. The listed phone number is (601) 809-0882.

What is Bounds Family Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Bounds Family Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2169469) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bounds Family Medical was last updated on January 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.