FAMILY MEDICAL CLINIC VARDAMAN
NPI 1467177683
Clinic/Center - Rural Health in Vardaman, MS
About Family Medical Clinic Vardaman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICAL CLINIC VARDAMAN (NPI 1467177683) is a healthcare organization registered as a rural health in Vardaman, Mississippi and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Jana Earnest, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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 Vardaman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Medical Clinic Vardaman, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Waiver 25D2272221
Family Medical Clinic Vardaman · Vardaman, 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 Altheacare LLC's NPI number?
The NPI number for Altheacare LLC is 1467177683. It was assigned to this organization in the NPPES registry on October 10, 2022. The provider is doing business as Family Medical Clinic Vardaman.
Where is Altheacare LLC located?
Altheacare LLC is located at 310 W Sweet Potato St Ste B, Vardaman, MS 38878. The listed phone number is (662) 567-1282.
What is Altheacare LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Altheacare LLC enrolled in Medicare?
Yes. Altheacare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Altheacare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Altheacare LLC, in Hospitalist and Nurse Practitioner. 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 Altheacare LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2272221) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Altheacare 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 Altheacare 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 Altheacare LLC was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Vardaman · NPI 1467177683
Rural Health organization in Vardaman, Mississippi. Organization record, active in the CMS NPPES registry since October 10, 2022.
## Identity
- **NPI:** 1467177683 (Entity type: Organization)
- **Enumerated:** October 10, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Altheacare Llc
- **Organization subpart:** No
- **Authorized official:** Jana Earnest, OFFICE MANAGER
## Practice location
- **Address:** 310 W SWEET POTATO ST STE B, Vardaman, MS 38878-8405
- **Phone:** (662) 567-1282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Hospitalist (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467177683) · Data from the CMS NPPES public registry.