FAMILY CARE MEDICAL CLINIC
NPI 1437210457
Nurse Practitioner - Family in Tupelo, MS
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 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)
Family Care Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Care Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Family Care Medical Clinic, LLC enrolled in Medicare?
Yes. Family Care Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
When is Family Care Medical Clinic, LLC'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 November 30, 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 Family Care Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Family Care Medical Clinic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Family Care Medical Clinic, 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Care Medical Clinic · NPI 1437210457
Family organization in Tupelo, Mississippi. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1437210457 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Family Care Medical Clinic, Llc
- **Organization subpart:** No
- **Authorized official:** Sylvia Blanchard, CEO
## Practice location
- **Address:** 109 PARK GATE EXT, Tupelo, MS 38801-3038
- **Phone:** (662) 840-4175 · **Fax:** (662) 840-8279
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 00124764 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1437210457) · Data from the CMS NPPES public registry.