IUKA FAMILY CLINIC LLC
NPI 1265384192
Nurse Practitioner - Family in Iuka, MS

Q: What is Iuka Family Clinic LLC's NPI number?

The NPI number for Iuka Family Clinic LLC is 1265384192. It was assigned to this organization in the NPPES registry on February 12, 2026.

Q: What is Iuka Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 12, 2026CLIA Certified · 2 labs

302 KAKI ST, IUKA, MS 38852(662) 423-3662(662) 423-2509 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Iuka Family Clinic Llc NPPES

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

IUKA FAMILY CLINIC LLC (NPI 1265384192) is a healthcare organization registered as a family in Iuka, Mississippi and active in the NPI registry since February 2026. The organization holds 2 active CLIA laboratory certificates and lists Wendy Trickey, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1265384192

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameIUKA FAMILY CLINIC LLC

Location Address302 KAKI STIuka, MS 38852-1197

Mailing Address302 Kaki StIuka, MS 38852-1117 · (662) 423-3662 · Fax (662) 423-2509

Phone(662) 423-3662

Fax(662) 423-2509

Organization SubpartNo

Authorized OfficialWendy TrickeyOwner/authorized Official · (662) 424-2316

Enumeration DateFebruary 12, 2026

NPPES CertifiedFebruary 12, 2026

✔ NPI 1265384192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

302 KAKI ST, Iuka, MS 38852

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iuka Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Iuka Family Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wendy Trickey, MSN, FNP-C

Nurse Practitioner

NPI 1326905639

302 KAKI ST
Iuka, MS 38852

(662) 423-3662

✔ PECOSSame address

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 2

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 25D0317133

Iuka Family Clinic · Iuka, MS

Active · expires Feb 23, 2027

CLIA Number25D0317133

Laboratory TypePhysician Office

Certificate Effective DateFebruary 24, 2025

Certificate Expiration DateFebruary 23, 2027

Laboratory DirectorBen E. Kitchens

Laboratory Phone(662) 423-3662

Laboratory LocationIuka Family Clinic302 Kaki, Iuka, MS 38852

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2325007

Murray Medical Alliance LLC Dba Iuka Family Clinic · Iuka, MS

Active · expires Jun 3, 2027

CLIA Number25D2325007

Laboratory TypePhysician Office

Certificate Effective DateJune 4, 2025

Certificate Expiration DateJune 3, 2027

Laboratory DirectorBradley A. Murray

Laboratory Phone(662) 423-3662

Laboratory LocationMurray Medical Alliance LLC Dba Iuka Family Clinic302A Kaki St, Iuka, MS 38852

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Iuka Family Clinic LLC's NPI number?

The NPI number for Iuka Family Clinic LLC is 1265384192. It was assigned to this organization in the NPPES registry on February 12, 2026.

Where is Iuka Family Clinic LLC located?

Iuka Family Clinic LLC is located at 302 Kaki St, Iuka, MS 38852. The listed phone number is (662) 423-3662.

What is Iuka Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Iuka Family Clinic LLC enrolled in Medicare?

Yes. Iuka Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Iuka Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Iuka Family Clinic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Iuka Family Clinic LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Iuka Family Clinic LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.