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FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC
NPI 1205915998
Family Medicine in Crystal Springs, MS

Active since November 03, 2006CLIA 25D0926965 · Microscopy
104 W RAILROAD AVE S, CRYSTAL SPRINGS, MS 39059(601) 892-3063(601) 892-3570 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Medical Clinic Of Crystal Springs Pllc NPPES

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

FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC (NPI 1205915998) is a healthcare organization registered as a family medicine in Crystal Springs, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through December 31, 2026 and lists James W Ervin, President, as its authorized official.

NPPES Registry Identity

NPI1205915998
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC
Location Address104 W RAILROAD AVE SCrystal Springs, MS 39059-2111
Mailing Address104 W Railroad Ave SCrystal Springs, MS 39059-2111 · (601) 892-3063 · Fax (601) 892-3570
Phone(601) 892-3063
Fax(601) 892-3570
Organization SubpartNo
Authorized OfficialJames W ErvinPresident · (601) 892-3063
Enumeration DateNovember 3, 2006
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1205915998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
104 W RAILROAD AVE S, Crystal Springs, MS 39059
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Other Identifiers 1

Medicaid06726832MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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) 25D0926965

Family Medical Clinic Of Crystal Springs PLLC · Crystal Springs, MS
Active · expires Dec 31, 2026
CLIA Number25D0926965
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDr. James W. Ervin Jr
Laboratory Phone(601) 892-3063
Laboratory LocationFamily Medical Clinic Of Crystal Springs PLLC104 West Railroad Avenue South, Crystal Springs, MS 39059
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.

Other Providers at the Same Location NPPES 3

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

JENNA GADDY
Nurse Practitioner
104 W RAILROAD AVE S
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-3063
DR. JAMES WILFRED ERVIN JR. M.D.
Family Medicine
104 W RAILROAD AVE S
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-3063
MRS. JENNIFER MACH SOJOURNER CFNP
Nurse Practitioner (Family)
104 W RAILROAD AVE S
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-3063

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 Family Medical Clinic Of Crystal Springs PLLC's NPI number?

The NPI number for Family Medical Clinic Of Crystal Springs PLLC is 1205915998. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Family Medical Clinic Of Crystal Springs PLLC located?

Family Medical Clinic Of Crystal Springs PLLC is located at 104 W Railroad Ave S, Crystal Springs, MS 39059. The listed phone number is (601) 892-3063.

What is Family Medical Clinic Of Crystal Springs PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Family Medical Clinic Of Crystal Springs PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0926965) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Medical Clinic Of Crystal Springs PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Family Medical Clinic Of Crystal Springs 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 Family Medical Clinic Of Crystal Springs PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.