FAMILY WELLNESS CLINIC LLC
NPI 1457544066
Family Medicine in Port Gibson, MS

Q: What is Family Wellness Clinic LLC's NPI number?

The NPI number for Family Wellness Clinic LLC is 1457544066. It was assigned to this organization in the NPPES registry on August 27, 2007.

Q: What is Family Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 27, 2007CLIA 25D1077586 · Microscopy

703B FARMER ST, PORT GIBSON, MS 39150(601) 437-5668(601) 437-4533 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Family Wellness Clinic Llc NPPES

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

FAMILY WELLNESS CLINIC LLC (NPI 1457544066) is a healthcare organization registered as a family medicine in Port Gibson, Mississippi and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through March 29, 2027 and lists Tanya S Anderson, Member, as its authorized official.

NPPES Registry Identity

NPI1457544066

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY WELLNESS CLINIC LLC

Location Address703B FARMER STPort Gibson, MS 39150-2319

Mailing AddressPo Box 726Port Gibson, MS 39150-0726 · (601) 437-5668 · Fax (601) 437-4533

Phone(601) 437-5668

Fax(601) 437-4533

Organization SubpartNo

Authorized OfficialTanya S AndersonMember · (601) 437-5668

Enumeration DateAugust 27, 2007

Last NPPES UpdateJuly 9, 2021

NPPES CertifiedJuly 9, 2021

✔ NPI 1457544066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 16897

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

703B FARMER ST, Port Gibson, MS 39150

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Other Identifiers 1

Medicaid00122761MS

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 Health and more.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 Wellness Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tanya Anderson, M.D.

Family Practice

NPI 1487708525

703B FARMER ST
Port Gibson, MS 39150

(601) 437-5668

✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 25D1077586

Family Wellness Clinic,the · Port Gibson, MS

Active · expires Mar 29, 2027

CLIA Number25D1077586

Laboratory TypePhysician Office

Certificate Effective DateMarch 30, 2025

Certificate Expiration DateMarch 29, 2027

Laboratory DirectorTanya S. Anderson

Laboratory Phone(601) 437-5668

Laboratory LocationFamily Wellness Clinic,the703 B Farmer Street, Port Gibson, MS 39150

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Family Wellness Clinic LLC's NPI number?

The NPI number for Family Wellness Clinic LLC is 1457544066. It was assigned to this organization in the NPPES registry on August 27, 2007.

Where is Family Wellness Clinic LLC located?

Family Wellness Clinic LLC is located at 703B Farmer St, Port Gibson, MS 39150. The listed phone number is (601) 437-5668.

What is Family Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Wellness Clinic LLC enrolled in Medicare?

Yes. Family Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Wellness 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.

Does Family Wellness Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D1077586) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Wellness 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 1 other insurer list Family Wellness 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 Wellness Clinic LLC was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.