COCKRELL FAMILY MEDICAL CENTER PC
NPI 1497705446
Clinic/Center - Primary Care in Senatobia, MS
About Cockrell Family Medical Center Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COCKRELL FAMILY MEDICAL CENTER PC (NPI 1497705446) is a healthcare organization registered as a primary care in Senatobia, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Jessie Michael Cockrell, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Cockrell Family Medical Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cockrell Family Medical Center PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. 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 25D0999181
Cockrell Family Medical Center PC · Senatobia, 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 Cockrell Family Medical Center PC's NPI number?
The NPI number for Cockrell Family Medical Center PC is 1497705446. It was assigned to this organization in the NPPES registry on May 11, 2006.
Where is Cockrell Family Medical Center PC located?
Cockrell Family Medical Center PC is located at 120 Norfleet Dr, Senatobia, MS 38668. The listed phone number is (662) 301-1128.
What is Cockrell Family Medical Center PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Cockrell Family Medical Center PC enrolled in Medicare?
Yes. Cockrell Family Medical Center PC is registered in the Medicare PECOS enrollment system.
When is Cockrell Family Medical Center PC'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 December 31, 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 Cockrell Family Medical Center PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cockrell Family Medical Center PC, in Family Practice 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cockrell Family Medical Center PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0999181) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cockrell Family Medical Center PC 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 Cockrell Family Medical Center PC 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 Cockrell Family Medical Center PC 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.
# Cockrell Family Medical Center Pc · NPI 1497705446
Primary Care organization in Senatobia, Mississippi. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1497705446 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jessie Cockrell, PRESIDENT
## Practice location
- **Address:** 120 NORFLEET DR, Senatobia, MS 38668-2220
- **Phone:** (662) 301-1128 · **Fax:** (662) 301-4430
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other DE7710 (MS)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1497705446) · Data from the CMS NPPES public registry.