ASU FAMILY CLINIC
NPI 1285776328
Clinic/Center - Health Service in Natchez, MS

Active since February 13, 2007
15 CAMPUS DR, NATCHEZ, MS 39120(601) 304-4375(601) 304-4355 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Asu Family Clinic NPPES

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

ASU FAMILY CLINIC (NPI 1285776328) is a healthcare organization registered as a health service in Natchez, Mississippi and active in the NPI registry since February 2007. The organization lists Linda Godley, Director, as its authorized official.

NPPES Registry Identity

NPI1285776328
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameALCORN STATE UNIVERSITY
Location Address15 CAMPUS DRNatchez, MS 39120-5364
Mailing Address15 Campus DrNatchez, MS 39120-5364 · (601) 304-4334 · Fax (601) 304-4355
Fax(601) 304-4355
Organization SubpartYes
Authorized OfficialLinda GodleyDirector · (601) 304-4375
Enumeration DateFebruary 13, 2007
Last NPPES UpdateDecember 20, 2007
NPI 1285776328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
15 CAMPUS DR, Natchez, MS 39120

Other Names 1

Doing Business AsAsu Family Clinic

Other Identifiers 1

Medicare ID-Type Unspecified09014990MS

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 25D0666058

Alcorn State University Family Clinic · Natchez, MS
Expired · Jul 23, 2026
CLIA Number25D0666058
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorShirley Evers-Manly
Laboratory Phone(601) 304-4375
Laboratory LocationAlcorn State University Family Clinic15 Campus Drive, Natchez, MS 39120
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
15 CAMPUS DR
NATCHEZ, MS 39120
Nurse Practitioner (Family)
15 CAMPUS DR
NATCHEZ, MS 39120
Nurse Practitioner (Family)
15 CAMPUS DR
NATCHEZ, MS 39120

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 Alcorn State University's NPI number?

The NPI number for Alcorn State University is 1285776328. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Asu Family Clinic.

Where is Alcorn State University located?

Alcorn State University is located at 15 Campus Dr, Natchez, MS 39120. The listed phone number is (601) 304-4375.

What is Alcorn State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Alcorn State University was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.