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FRIENDSHIP MEDICAL CLINIC, LLC
NPI 1275586273
Nurse Practitioner in Ecru, MS

Active since May 19, 2006CLIA 25D1051740 · Certificate of Compliance
5129 HIGHWAY 15 N, ECRU, MS 38841(662) 488-8799(772) 382-7966 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1275586273
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFRIENDSHIP MEDICAL CLINIC, LLC
Location Address5129 HIGHWAY 15 NEcru, MS 38841-9407
Mailing Address5129 Highway 15 NEcru, MS 38841-9407 · (662) 488-8799 · Fax (772) 382-7966
Phone(662) 488-8799
Fax(772) 382-7966
Organization SubpartNo
Authorized OfficialBobby Ken NowlinOwner · (662) 489-3333
Enumeration DateMay 19, 2006
Last NPPES UpdateSeptember 9, 2011
✔ NPI 1275586273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5129 HIGHWAY 15 N, Ecru, MS 38841
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Other Identifiers 1

Medicaid04170317MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 Compliance 25D1051740

Friendship Medical Clinic · Ecru, MS
Active · expires Mar 6, 2028
CLIA Number25D1051740
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorDr. Samuel J. Creekmore III
Laboratory Phone(662) 488-8799
Laboratory LocationFriendship Medical Clinic5482 Hwy 15 N, Ecru, MS 38841
CLIA data matches this NPI record on: 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.

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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 14 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.