FAMILY MEDICAL CLINIC OF CLEVELAND, LLC
NPI 1346544376
Nurse Practitioner - Family in Cleveland, MS

Q: What is Family Medical Clinic Of Cleveland, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 05, 2011CLIA 25D0316778 · Certificate of Compliance

803 1ST ST, CLEVELAND, MS 38732(662) 843-2721(662) 846-1728 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Family Medical Clinic Of Cleveland, Llc NPPES

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

FAMILY MEDICAL CLINIC OF CLEVELAND, LLC (NPI 1346544376) is a healthcare organization registered as a family in Cleveland, Mississippi and active in the NPI registry since January 2011. The organization holds a CLIA Certificate of Compliance certificate valid through January 24, 2028 and lists Donald James Blackwood, President, as its authorized official.

NPPES Registry Identity

NPI1346544376

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameFAMILY MEDICAL CLINIC OF CLEVELAND, LLC

Location Address803 1ST STCleveland, MS 38732-2309

Mailing Address803 1st StCleveland, MS 38732-2309 · (662) 843-2721 · Fax (662) 846-1728

Phone(662) 843-2721

Fax(662) 846-1728

Organization SubpartNo

Authorized OfficialDonald James BlackwoodPresident · (662) 843-2721

Enumeration DateJanuary 5, 2011

✔ NPI 1346544376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R855837

803 1ST ST, Cleveland, MS 38732

Open in Google Maps ↗

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 25D0316778

Family Medical Clinic · Cleveland, MS

Active · expires Jan 24, 2028

CLIA Number25D0316778

Laboratory TypePhysician Office

Certificate Effective DateJanuary 25, 2026

Certificate Expiration DateJanuary 24, 2028

Laboratory DirectorDon Blackwood

Laboratory Phone(662) 843-2721

Laboratory LocationFamily Medical Clinic803 1st St, Cleveland, MS 38732

CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 6

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

EMMA HARDY CROWE AGNP-C

Nurse Practitioner (Gerontology)