CLAIBORNE COUNTY FAMILY HEALTH CENTER, INC.
NPI 1194968982
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Gibson, MS

Q: What is Claiborne County Family Health Center, Inc.'s specialty?

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

Active since April 09, 2009CLIA 25D2083115 · Waiver

2045 HIGHWAY 61 N, PORT GIBSON, MS 39150(601) 437-3049(601) 437-3051 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Claiborne County Family Health Center, Inc. NPPES

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

CLAIBORNE COUNTY FAMILY HEALTH CENTER, INC. (NPI 1194968982) is a healthcare organization registered as a federally qualified health center (fqhc) in Port Gibson, Mississippi and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Coney L Johnson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1194968982

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCLAIBORNE COUNTY FAMILY HEALTH CENTER, INC.

Location Address2045 HIGHWAY 61 NPort Gibson, MS 39150-4262

Mailing AddressPo Box 741Port Gibson, MS 39150-0741 · (601) 437-3049 · Fax (601) 437-3051

Phone(601) 437-3049

Fax(601) 437-3051

Organization SubpartNo

Authorized OfficialConey L JohnsonChief Executive Officer · (601) 437-3052

Enumeration DateApril 9, 2009

✔ NPI 1194968982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

2045 HIGHWAY 61 N, Port Gibson, MS 39150

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Other Identifiers 1

Medicaid09013386MS

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 25D2083115

Claiborne County Family Health Center A W Watson Elementary · Port Gibson, MS

Active · expires Aug 27, 2026

CLIA Number25D2083115

Laboratory TypeSchool/Student Health Service

Certificate Effective DateAugust 28, 2024

Certificate Expiration DateAugust 27, 2026

Laboratory DirectorMheja M. Williams

Laboratory Phone(601) 437-5585

Laboratory LocationClaiborne County Family Health Center A W Watson Elementary880 Anthony Street, Port Gibson, MS 39150

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. LATOYA DENISE COLENBERG EAKINS D.M.D.

Dentist (General Practice)