ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC
NPI 1205596962
Clinic/Center - Rural Health in Laurel Hill, NC
About Access Medical Clinic North Carolina Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC (NPI 1205596962) is a healthcare organization registered as a rural health in Laurel Hill, North Carolina and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Bradley Ray Bibb, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Access Medical Clinic North Carolina Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Access Medical Clinic North Carolina PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 34D2249504
Access Medical Clinic North Carolina PLLC · Laurel Hill, NCFrequently 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 Access Medical Clinic North Carolina PLLC's NPI number?
The NPI number for Access Medical Clinic North Carolina PLLC is 1205596962. It was assigned to this organization in the NPPES registry on December 22, 2021.
Where is Access Medical Clinic North Carolina PLLC located?
Access Medical Clinic North Carolina PLLC is located at 18901 Ida Mill Rd, Laurel Hill, NC 28351. The listed phone number is (870) 856-1202.
What is Access Medical Clinic North Carolina PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Access Medical Clinic North Carolina PLLC enrolled in Medicare?
Yes. Access Medical Clinic North Carolina PLLC is registered in the Medicare PECOS enrollment system.
When is Access Medical Clinic North Carolina PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Access Medical Clinic North Carolina PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Access Medical Clinic North Carolina PLLC, in Family Practice and Nurse Practitioner. 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 Access Medical Clinic North Carolina PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2249504) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Access Medical Clinic North Carolina PLLC accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Access Medical Clinic North Carolina PLLC 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 Access Medical Clinic North Carolina PLLC was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Access Medical Clinic North Carolina Pllc · NPI 1205596962
Rural Health organization in Laurel Hill, North Carolina. Organization record, active in the CMS NPPES registry since December 22, 2021.
## Identity
- **NPI:** 1205596962 (Entity type: Organization)
- **Enumerated:** December 22, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Bradley Bibb, OWNER/CEO
## Practice location
- **Address:** 18901 IDA MILL RD, Laurel Hill, NC 28351-8326
- **Phone:** (870) 856-1202 · **Fax:** (870) 856-2107
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205596962) · Data from the CMS NPPES public registry.