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JFMC ELLISVILLE, LLC
NPI 1407121338
Clinic/Center - Primary Care in Ellisville, MS

Active since March 10, 2012
602 HILL ST, ELLISVILLE, MS 39437(601) 719-0092(601) 719-0473 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jfmc Ellisville, Llc NPPES

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

JFMC ELLISVILLE, LLC (NPI 1407121338) is a healthcare organization registered as a primary care in Ellisville, Mississippi and active in the NPI registry since March 2012. The organization lists Kaye D Jones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407121338
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJFMC ELLISVILLE, LLC
Location Address602 HILL STEllisville, MS 39437-2414
Mailing Address602 Hill StEllisville, MS 39437-2414 · (601) 719-0092 · Fax (601) 719-0473
Phone(601) 719-0092
Fax(601) 719-0473
Organization SubpartYesParent: Jones Family Medicine Clinic, Pllc
Authorized OfficialKaye D JonesOffice Manager · (601) 719-0092
Enumeration DateMarch 10, 2012
Last NPPES UpdateOctober 18, 2012
✔ NPI 1407121338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
602 HILL ST, Ellisville, MS 39437
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 Waiver 25D2053253

Jfmc Ellisville LLC · Ellisville, MS
Expired · Jul 26, 2026
CLIA Number25D2053253
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorDr. Matthew B. Jones
Laboratory Phone(601) 719-0092
Laboratory LocationJfmc Ellisville LLC85 Hal Crocker Rd, Ellisville, MS 39437
CLIA data matches this NPI record on: Name Phone
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 Jfmc Ellisville, LLC's NPI number?

The NPI number for Jfmc Ellisville, LLC is 1407121338. It was assigned to this organization in the NPPES registry on March 10, 2012.

Where is Jfmc Ellisville, LLC located?

Jfmc Ellisville, LLC is located at 602 Hill St, Ellisville, MS 39437. The listed phone number is (601) 719-0092.

What is Jfmc Ellisville, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Jfmc Ellisville, LLC accept?

Health plans from Molina Healthcare list Jfmc Ellisville, 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 Jfmc Ellisville, LLC was last updated on October 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.