FAMILY MEDICAL CLINIC OF CLEVELAND, LLC
NPI 1346544376
Nurse Practitioner - Family in Cleveland, MS
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
Specialties & Licenses
Group Practice 1
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)
Family Medical Clinic Of Cleveland, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Family Medical Clinic Of Cleveland, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Compliance 25D0316778
Family Medical Clinic · Cleveland, 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 Family Medical Clinic Of Cleveland, LLC's NPI number?
The NPI number for Family Medical Clinic Of Cleveland, LLC is 1346544376. It was assigned to this organization in the NPPES registry on January 5, 2011.
Where is Family Medical Clinic Of Cleveland, LLC located?
Family Medical Clinic Of Cleveland, LLC is located at 803 1st St, Cleveland, MS 38732. The listed phone number is (662) 843-2721.
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.
Is Family Medical Clinic Of Cleveland, LLC enrolled in Medicare?
Yes. Family Medical Clinic Of Cleveland, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medical Clinic Of Cleveland, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Family Medical Clinic Of Cleveland, LLC. 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 (4), Family Practice (2) and Obstetrics/Gynecology (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Medical Clinic Of Cleveland, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D0316778) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Medical Clinic Of Cleveland, LLC 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 Family Medical Clinic Of Cleveland, 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 Family Medical Clinic Of Cleveland, LLC was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Family Medical Clinic Of Cleveland, Llc · NPI 1346544376
Family organization in Cleveland, Mississippi. Organization record, active in the CMS NPPES registry since January 5, 2011.
## Identity
- **NPI:** 1346544376 (Entity type: Organization)
- **Enumerated:** January 5, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Donald Blackwood, PRESIDENT
## Practice location
- **Address:** 803 1ST ST, Cleveland, MS 38732-2309
- **Phone:** (662) 843-2721 · **Fax:** (662) 846-1728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2), Obstetrics/Gynecology (1); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346544376) · Data from the CMS NPPES public registry.