FAMILY FIRST CLINIC OF CLARKSDALE, PLLC
NPI 1215206016
Family Medicine in Clarksdale, MS
About Family First Clinic Of Clarksdale, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY FIRST CLINIC OF CLARKSDALE, PLLC (NPI 1215206016) is a healthcare organization registered as a family medicine in Clarksdale, Mississippi and active in the NPI registry since December 2011. The organization holds a CLIA Certificate of Compliance certificate valid through June 6, 2028 and lists Dallas Earnest, Owner, 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 First Clinic Of Clarksdale, 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 First Clinic Of Clarksdale, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. 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 of Compliance 25D2037272
Family First Clinic Of Clarksdale · Clarksdale, 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 First Clinic Of Clarksdale, PLLC's NPI number?
The NPI number for Family First Clinic Of Clarksdale, PLLC is 1215206016. It was assigned to this organization in the NPPES registry on December 22, 2011.
Where is Family First Clinic Of Clarksdale, PLLC located?
Family First Clinic Of Clarksdale, PLLC is located at 1015 Lee Dr Suite 13, Clarksdale, MS 38614. The listed phone number is (662) 592-4170.
What is Family First Clinic Of Clarksdale, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family First Clinic Of Clarksdale, PLLC enrolled in Medicare?
Yes. Family First Clinic Of Clarksdale, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family First Clinic Of Clarksdale, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Family First Clinic Of Clarksdale, 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 Emergency Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family First Clinic Of Clarksdale, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D2037272) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family First Clinic Of Clarksdale, 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 1 other insurer list Family First Clinic Of Clarksdale, 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 First Clinic Of Clarksdale, PLLC was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Family First Clinic Of Clarksdale, Pllc · NPI 1215206016
Family Medicine organization in Clarksdale, Mississippi. Organization record, active in the CMS NPPES registry since December 22, 2011.
## Identity
- **NPI:** 1215206016 (Entity type: Organization)
- **Enumerated:** December 22, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Dallas Earnest, OWNER
## Practice location
- **Address:** 1015 LEE DR, SUITE 13, Clarksdale, MS 38614-3698
- **Phone:** (662) 592-4170 · **Fax:** (662) 269-0226
## 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), Emergency Medicine (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2024
- **Other identifiers:** Other 4258565 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215206016) · Data from the CMS NPPES public registry.