FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC
NPI 1205915998
Family Medicine in Crystal Springs, MS
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Family Medical Clinic Of Crystal Springs Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Family Medical Clinic Of Crystal Springs PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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) 25D0926965
Family Medical Clinic Of Crystal Springs PLLC · Crystal Springs, MSFrequently 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.
Is Family Medical Clinic Of Crystal Springs PLLC enrolled in Medicare?
Yes. Family Medical Clinic Of Crystal Springs PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medical Clinic Of Crystal Springs PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Medical Clinic Of Crystal Springs PLLC. 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 (3) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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 11 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.
# Family Medical Clinic Of Crystal Springs Pllc · NPI 1205915998
Family Medicine organization in Crystal Springs, Mississippi. Organization record, active in the CMS NPPES registry since November 3, 2006.
## Identity
- **NPI:** 1205915998 (Entity type: Organization)
- **Enumerated:** November 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** James Ervin, PRESIDENT
## Practice location
- **Address:** 104 W RAILROAD AVE S, Crystal Springs, MS 39059-2111
- **Phone:** (601) 892-3063 · **Fax:** (601) 892-3570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2025
- **Other identifiers:** Medicaid 06726832 (MS)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1205915998) · Data from the CMS NPPES public registry.