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FAMILY CARE MEDICAL CLINIC
NPI 1437210457
Nurse Practitioner - Family in Tupelo, MS

Active since December 13, 2006
109 PARK GATE EXT, TUPELO, MS 38801(662) 840-4175(662) 840-8279 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Care Medical Clinic NPPES

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

FAMILY CARE MEDICAL CLINIC (NPI 1437210457) is a healthcare organization registered as a family in Tupelo, Mississippi and active in the NPI registry since December 2006. The organization lists Sylvia O Blanchard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437210457
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAMILY CARE MEDICAL CLINIC, LLC
Location Address109 PARK GATE EXTTupelo, MS 38801-3038
Mailing Address109 Park Gate ExtTupelo, MS 38801-3038 · (662) 840-4175 · Fax (662) 840-8279
Phone(662) 840-4175
Fax(662) 840-8279
Organization SubpartNo
Authorized OfficialSylvia O BlanchardCeo · (662) 840-4175
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437210457 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 · R729086
109 PARK GATE EXT, Tupelo, MS 38801
Open in Google Maps ↗

Other Names 1

Doing Business AsFamily Care Medical Clinic

Other Identifiers 1

Medicaid00124764MS

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 Waiver 25D1025941

Family Care Medical Clinic · Tupelo, MS
Expired · May 23, 2026
CLIA Number25D1025941
Laboratory TypePractitioner Other
Certificate Effective DateMay 24, 2024
Certificate Expiration DateMay 23, 2026
Laboratory DirectorSylvia O. Blanchard
Laboratory Phone(662) 840-4175
Laboratory LocationFamily Care Medical Clinic109 Parkgate Ext, Tupelo, MS 38801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SYLVIA BLANCHARD CFNP
Nurse Practitioner (Family)
109 PARK GATE EXT
TUPELO, MS 38801
Lee County (662) 840-4175

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 Family Care Medical Clinic, LLC's NPI number?

The NPI number for Family Care Medical Clinic, LLC is 1437210457. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Family Care Medical Clinic.

Where is Family Care Medical Clinic, LLC located?

Family Care Medical Clinic, LLC is located at 109 Park Gate Ext, Tupelo, MS 38801. The listed phone number is (662) 840-4175.

What is Family Care Medical Clinic, LLC's specialty?

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

What insurance does Family Care Medical Clinic, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Family Care Medical Clinic, 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 Care Medical Clinic, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.