INDIANOLA FAMILY MEDICAL GROUP
NPI 1245248699
Clinic/Center - Rural Health in Indianola, MS
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Indianola Family Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
89Medicare enrollment records show 89 clinicians reassign Medicare billing to Indianola Family Medical Group, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 89Source: 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 Accreditation 25D0316807
Indianola Family Medical Group · Indianola, 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 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.
Is South Sunflower County Hospital enrolled in Medicare?
Yes. South Sunflower County Hospital is registered in the Medicare PECOS enrollment system.
When is South Sunflower County Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Sunflower County Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 11 Medicare specialties reassign their Medicare billing to South Sunflower County Hospital. 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 Emergency Medicine (28), Nurse Practitioner (18) and Certified Registered Nurse Anesthetist (CRNA) (16). Of these, 7 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 6 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.
# Indianola Family Medical Group · NPI 1245248699
Rural Health organization in Indianola, Mississippi. Organization record, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1245248699 (Entity type: Organization)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** South Sunflower County Hospital
- **Organization subpart:** No
- **Authorized official:** Jim Woods, CLINIC ADMINISTRATOR
## Practice location
- **Address:** 122 E BAKER ST, Indianola, MS 38751-2451
- **Phone:** (662) 887-2212 · **Fax:** (662) 887-1279
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 89 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (28), Nurse Practitioner (18), Certified Registered Nurse Anesthetist (CRNA) (16); 7 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1245248699/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 08904503 (MS); Medicaid 09015873 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245248699) · Data from the CMS NPPES public registry.