INDIANOLA FAMILY MEDICAL GROUP
NPI 1245248699
Clinic/Center - Rural Health in Indianola, MS

Active since August 03, 2006CLIA 25D0316807 · Accreditation
122 E BAKER ST, INDIANOLA, MS 38751(662) 887-2212(662) 887-1279 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indianola Family Medical Group NPPES

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

INDIANOLA FAMILY MEDICAL GROUP (NPI 1245248699) is a healthcare organization registered as a rural health in Indianola, Mississippi and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Jim Woods, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1245248699
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTH SUNFLOWER COUNTY HOSPITAL
Location Address122 E BAKER STIndianola, MS 38751-2451
Mailing Address122 E Baker StIndianola, MS 38751-2451 · (662) 887-2212 · Fax (662) 887-1279
Fax(662) 887-1279
Organization SubpartNo
Authorized OfficialJim WoodsClinic Administrator · (662) 887-2212
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1245248699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
122 E BAKER ST, Indianola, MS 38751

Other Names 1

Doing Business AsIndianola Family Medical Group

Other Identifiers 2

Medicaid08904503MS
Medicaid09015873MS

Accepted 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 of Accreditation 25D0316807

Indianola Family Medical Group · Indianola, MS
Active · expires Dec 22, 2027
CLIA Number25D0316807
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorWade Dowell
Laboratory Phone(662) 887-2212
Laboratory LocationIndianola Family Medical Group122 East Baker Street, Indianola, MS 38751
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
122 E BAKER ST
INDIANOLA, MS 38751
Nurse Practitioner (Family)
122 E BAKER ST
INDIANOLA, MS 38751
Nurse Practitioner (Family)
122 E BAKER ST
INDIANOLA, MS 38751
Nurse Practitioner (Family)
122 E BAKER ST
INDIANOLA, MS 38751
Family Medicine
122 E BAKER ST
INDIANOLA, MS 38751
Family Medicine
122 E BAKER ST
INDIANOLA, MS 38751
Family Medicine
122 E BAKER ST
INDIANOLA, MS 38751
Family Medicine
122 E BAKER ST
INDIANOLA, MS 38751

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 South Sunflower County Hospital's NPI number?

The NPI number for South Sunflower County Hospital is 1245248699. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Indianola Family Medical Group.

Where is South Sunflower County Hospital located?

South Sunflower County Hospital is located at 122 E Baker St, Indianola, MS 38751. The listed phone number is (662) 887-2212.

What is South Sunflower County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does South Sunflower County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 25D0316807) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Sunflower County Hospital 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 2 other insurers list South Sunflower County Hospital 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 South Sunflower County Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.