CLARKSDALE FAM MED CENTER
NPI 1467949941
Family Medicine in Clarksdale, MS
About Clarksdale Fam Med Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARKSDALE FAM MED CENTER (NPI 1467949941) is a healthcare organization registered as a family medicine in Clarksdale, Mississippi and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Lonnie Moore, Executive Director, 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)
Clarksdale Fam Med Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Clarksdale Fam Med Center, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 25D2281590
Clarksdale Family Medical Center · Clarksdale, 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 Delta Medical Foundation's NPI number?
The NPI number for Delta Medical Foundation is 1467949941. It was assigned to this organization in the NPPES registry on April 19, 2018. The provider is doing business as Clarksdale Fam Med Center.
Where is Delta Medical Foundation located?
Delta Medical Foundation is located at 1209 Lee Dr, Clarksdale, MS 38614. The listed phone number is (662) 326-3500.
What is Delta Medical Foundation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Delta Medical Foundation enrolled in Medicare?
Yes. Delta Medical Foundation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Delta Medical Foundation?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Delta Medical Foundation. 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. The largest specialties are Nurse Practitioner (7), Emergency Medicine (1) and Family Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Delta Medical Foundation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2281590) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Delta Medical Foundation 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 Delta Medical Foundation 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 Delta Medical Foundation was last updated on March 1, 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.
# Clarksdale Fam Med Center · NPI 1467949941
Family Medicine organization in Clarksdale, Mississippi. Organization record, active in the CMS NPPES registry since April 19, 2018.
## Identity
- **NPI:** 1467949941 (Entity type: Organization)
- **Enumerated:** April 19, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Delta Medical Foundation
- **Organization subpart:** No
- **Authorized official:** Lonnie Moore, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1209 LEE DR, Clarksdale, MS 38614-3320
- **Phone:** (662) 326-3500 · **Fax:** (662) 326-7077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Emergency Medicine (1), Family Practice (1); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467949941) · Data from the CMS NPPES public registry.