CCFHC
NPI 1235133968
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Gibson, MS

Active since June 10, 2005
2045 HIGHWAY 61 NORTH, PORT GIBSON, MS 39150(601) 437-3049(601) 437-3051 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ccfhc NPPES

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

CCFHC (NPI 1235133968) is a healthcare organization registered as a federally qualified health center (fqhc) in Port Gibson, Mississippi and active in the NPI registry since June 2005. The organization lists Ladonna Beasley Davis, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1235133968
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCLAIBORNE COUNTY FAMILY HEALTH CENTER
Location Address2045 HIGHWAY 61 NORTHPort Gibson, MS 39150-4262
Mailing Address2045 Highway 61 N, P O Box 741Port Gibson, MS 39150-4262 · (601) 437-3049 · Fax (601) 437-3051
Fax(601) 437-3051
Organization SubpartNo
Authorized OfficialLadonna Beasley DavisChief Operating Officer · (601) 437-3052
Enumeration DateJune 10, 2005
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1235133968 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 · Primary CareTaxonomy 261QP2300X
2045 HIGHWAY 61 NORTH, Port Gibson, MS 39150

Other Names 1

Other NameCcfhc

Other Identifiers 3

Medicare UPINC00946MS
Medicaid09010054MS
Medicare OSCAR/certification251827MS

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)

Ccfhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Ccfhc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Clinical Social Worker2
Family Practice1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1861930851
2045 HIGHWAY 61 N
Port Gibson, MS 39150
(601) 437-3050
✔ PECOSSame address
Nurse Practitioner
NPI 1659721116
2045 HIGHWAY 61 N
Port Gibson, MS 39150
(601) 437-3050
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548365901
2045 HIGHWAY 61 NORTH
Port Gibson, MS 39150
(601) 437-3050
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1811050594
2045 HIGHWAY 61 N
Port Gibson, MS 39150
(601) 437-3050
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1972221463
3150 CORBAN RD
Fayette, MS 39069
(601) 597-8137
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1518667666
870 MAIN ST
Fayette, MS 39069
(601) 786-3401
✔ PECOS19 mi
Nurse Practitioner
NPI 1497272041
6 LILY LN
Natchez, MS 39120
(601) 443-2747
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1700461456
162 TUBMAN CIR
Natchez, MS 39120
(601) 597-2614
✔ PECOS42 mi
Nurse Practitioner
NPI 1558727560
1701 WHITE ST
Mccomb, MS 39648
(601) 249-4217
✔ PECOS✔ Accepts Medicare58 mi
Clinical Social Worker
NPI 1467712463
619 3RD ST NW
Magee, MS 39111
(601) 695-0151
✔ PECOS✔ Accepts Medicare73 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Claiborne County Family Health Center's NPI number?

The NPI number for Claiborne County Family Health Center is 1235133968. It was assigned to this organization in the NPPES registry on June 10, 2005. The provider is also known as Ccfhc.

Where is Claiborne County Family Health Center located?

Claiborne County Family Health Center is located at 2045 Highway 61 North, Port Gibson, MS 39150. The listed phone number is (601) 437-3049.

What is Claiborne County Family Health Center's specialty?

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

Is Claiborne County Family Health Center enrolled in Medicare?

Yes. Claiborne County Family Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Claiborne County Family Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Claiborne County Family Health Center. 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 (7), Clinical Social Worker (2) and Family Practice (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Claiborne County Family Health Center accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Claiborne County Family Health Center 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 Claiborne County Family Health Center was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.