BELMONT FAMILY MEDICAL CLINIC
NPI 1295105922
Clinic/Center in Belmont, MS
About Belmont Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BELMONT FAMILY MEDICAL CLINIC (NPI 1295105922) is a healthcare organization registered as a clinic/center in Belmont, Mississippi and active in the NPI registry since October 2015. The organization holds a CLIA Certificate of Compliance certificate valid through September 9, 2027 and lists Sharon Nobles, Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Belmont Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to Belmont Family Medical Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 35Source: 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 25D0906423
Tishomingo Health Services Inc Dba Belmont Family Clinic · Belmont, 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 Tishomingo Health Services, Inc.'s NPI number?
The NPI number for Tishomingo Health Services, Inc. is 1295105922. It was assigned to this organization in the NPPES registry on October 7, 2015. The provider is doing business as Belmont Family Medical Clinic.
Where is Tishomingo Health Services, Inc. located?
Tishomingo Health Services, Inc. is located at 26 3rd St, Belmont, MS 38827. The listed phone number is (000) 000-0000.
What is Tishomingo Health Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Tishomingo Health Services, Inc. enrolled in Medicare?
Yes. Tishomingo Health Services, Inc. is registered in the Medicare PECOS enrollment system.
When is Tishomingo Health Services, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tishomingo Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 6 Medicare specialties reassign their Medicare billing to Tishomingo Health Services, Inc.. 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 (14), Emergency Medicine (7) and Family Practice (7). 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 Tishomingo Health Services, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D0906423) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tishomingo Health Services, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Tishomingo Health Services, Inc. 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 Tishomingo Health Services, Inc. was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Belmont Family Medical Clinic · NPI 1295105922
Clinic/Center organization in Belmont, Mississippi. Organization record, active in the CMS NPPES registry since October 7, 2015.
## Identity
- **NPI:** 1295105922 (Entity type: Organization)
- **Enumerated:** October 7, 2015
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Tishomingo Health Services, Inc.
- **Organization subpart:** No
- **Authorized official:** Sharon Nobles, TREASURER
## Practice location
- **Address:** 26 3RD ST, Belmont, MS 38827-7737
- **Phone:** (000) 000-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 35 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Emergency Medicine (7), Family Practice (7); 4 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1295105922/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295105922) · Data from the CMS NPPES public registry.