WINONA FMAILY PRACTICE
NPI 1285649855
Clinic/Center - Rural Health in Winona, MS

Active since July 30, 2006CLIA 25D0889888 · Waiver
700 WOODLAND DRIVE, WINONA, MS 38967(662) 283-3060(662) 283-3553 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2023, Oct 29, 2020 (2 updates tracked since 2020).

About Winona Fmaily Practice NPPES

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

WINONA FMAILY PRACTICE (NPI 1285649855) is a healthcare organization registered as a rural health in Winona, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Memorie Lyons, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1285649855
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTYLER HOLMES MEMORIAL HOSPITAL
Location Address700 WOODLAND DRIVEWinona, MS 38967
Mailing Address409 Tyler Holmes DriveWinona, MS 38967 · (662) 283-4114 · Fax (662) 283-3553
Fax(662) 283-3553
Organization SubpartYes
Authorized OfficialMemorie LyonsClinic Director · (662) 283-6119
Enumeration DateJuly 30, 2006
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1285649855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
700 WOODLAND DRIVE, Winona, MS 38967

Other Names 1

Doing Business AsWinona Fmaily Practice

Other Identifiers 18

Other1144840489MS · Npi
Medicaid05586705MS
Other1316557416MS · Npi
Other2466404Wellcare
Medicaid000113703MS
Medicaid003558755MS
Other1497164446MS · Npi
Other1700426707MS · Npi
Medicaid09014346MS
Other1881600492MS · Npi
Medicaid200007660MS
Other2087948MS · Wellcare
Other2375774MS · Wellcare
Medicaid006456342MS
Other1043662430MS · Npi
Medicaid001608351MS
Medicaid003029302MS
Other1285649855MS · Npi

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Winona Fmaily Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Winona Fmaily Practice, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner10
Family Practice4

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1861990111
700 WOODLAND DR
Winona, MS 38967
(662) 283-3060
✔ PECOSSame address
Nurse Practitioner
NPI 1316557416
700 WOODLAND DR # 1530
Winona, MS 38967
(662) 283-3060
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1659550127
408 TYLER HOLMES DR
Winona, MS 38967
(662) 283-8205
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144840489
409 TYLER HOLMES DR
Winona, MS 38967
(662) 283-4114
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1881600492
700 WOODLAND DR
Winona, MS 38967
(662) 283-3060
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1730550419
502 GEORGE STREET
North Carrollton, MS 38947
(662) 237-4525
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1902369457
1117 SUNSET DR STE 104
Grenada, MS 38901
(662) 226-0110
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1760217566
960 AVENT DR
Grenada, MS 38901
(662) 227-7122
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1568502714
2901 HIGHWAY 82 E
Greenwood, MS 38930
(662) 374-2185
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1043662430
1401 RIVER RD
Greenwood, MS 38930
(662) 459-7000
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1700426707
50 VETERANS MEMORIAL DR
Kosciusko, MS 39090
(662) 663-4216
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1497164446
3600 BLUECUTT RD STE 201
Columbus, MS 39705
(662) 329-3973
✔ PECOS✔ Accepts Medicare75 mi
Nurse Practitioner
NPI 1689896763
7048 OLD CANTON RD STE 2E
Ridgeland, MS 39157
(601) 992-9790
✔ PECOS✔ Accepts Medicare77 mi
Family Practice
NPI 1811918246
360 SIMPSON HIGHWAY 149 SUITE 360
Magee, MS 39111
(601) 849-1245
✔ PECOS112 mi

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 Waiver 25D0889888

Winona Family Clinic · Winona, MS
Active · expires Feb 28, 2028
CLIA Number25D0889888
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorRobin Skeen
Laboratory Phone(601) 283-3060
Laboratory LocationWinona Family Clinic700 Woodland Drive, Winona, MS 38967
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only 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 Tyler Holmes Memorial Hospital's NPI number?

The NPI number for Tyler Holmes Memorial Hospital is 1285649855. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Winona Fmaily Practice.

Where is Tyler Holmes Memorial Hospital located?

Tyler Holmes Memorial Hospital is located at 700 Woodland Drive, Winona, MS 38967. The listed phone number is (662) 283-3060.

What is Tyler Holmes Memorial Hospital's specialty?

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

Is Tyler Holmes Memorial Hospital enrolled in Medicare?

Yes. Tyler Holmes Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tyler Holmes Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Tyler Holmes Memorial 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 Nurse Practitioner (10) and Family Practice (4). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tyler Holmes Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0889888) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tyler Holmes Memorial 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 3 other insurers list Tyler Holmes Memorial 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 Tyler Holmes Memorial Hospital was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.