FRIENDSHIP MEDICAL CLINIC, LLC
NPI 1275586273
Nurse Practitioner in Ecru, MS
About Friendship Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRIENDSHIP MEDICAL CLINIC, LLC (NPI 1275586273) is a healthcare organization registered as a nurse practitioner in Ecru, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 6, 2028 and lists Bobby Ken Nowlin, 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)
Friendship Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Friendship Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (14)
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 25D1051740
Friendship Medical Clinic · Ecru, 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 Friendship Medical Clinic, LLC's NPI number?
The NPI number for Friendship Medical Clinic, LLC is 1275586273. It was assigned to this organization in the NPPES registry on May 19, 2006.
Where is Friendship Medical Clinic, LLC located?
Friendship Medical Clinic, LLC is located at 5129 Highway 15 N, Ecru, MS 38841. The listed phone number is (662) 488-8799.
What is Friendship Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Friendship Medical Clinic, LLC enrolled in Medicare?
Yes. Friendship Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Friendship Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Friendship Medical 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. The largest specialties are Nurse Practitioner (13) and Family Practice (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Friendship Medical Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D1051740) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Friendship Medical Clinic, LLC 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 Friendship Medical Clinic, LLC 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 Friendship Medical Clinic, LLC was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Friendship Medical Clinic, Llc · NPI 1275586273
Nurse Practitioner organization in Ecru, Mississippi. Organization record, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1275586273 (Entity type: Organization)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Bobby Nowlin, OWNER
## Practice location
- **Address:** 5129 HIGHWAY 15 N, Ecru, MS 38841-9407
- **Phone:** (662) 488-8799 · **Fax:** (772) 382-7966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (1); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2011
- **Other identifiers:** Medicaid 04170317 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275586273) · Data from the CMS NPPES public registry.