BAZ FAMILY MEDICAL CLINIC
NPI 1508353384
Family Medicine in Pascagoula, MS
About Baz Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAZ FAMILY MEDICAL CLINIC (NPI 1508353384) is a healthcare organization registered as a family medicine in Pascagoula, Mississippi and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Jeanette Shabazz, Presiden, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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)
Baz Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Baz Family Medical Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 25D2151535
Baz Family Medical Clinic · Pascagoula, 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 Baz Family Medical Clinic's NPI number?
The NPI number for Baz Family Medical Clinic is 1508353384. It was assigned to this organization in the NPPES registry on April 17, 2018.
Where is Baz Family Medical Clinic located?
Baz Family Medical Clinic is located at 4310 Chicot St, Pascagoula, MS 39581. The listed phone number is (717) 421-5490.
What is Baz Family Medical Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Baz Family Medical Clinic enrolled in Medicare?
Yes. Baz Family Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Baz Family Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Baz Family Medical Clinic. 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 Baz Family Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2151535) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Baz Family Medical Clinic 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 Baz Family Medical Clinic 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 Baz Family Medical Clinic was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Baz Family Medical Clinic · NPI 1508353384
Family Medicine organization in Pascagoula, Mississippi. Organization record, active in the CMS NPPES registry since April 17, 2018.
## Identity
- **NPI:** 1508353384 (Entity type: Organization)
- **Enumerated:** April 17, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jeanette Shabazz, PRESIDEN
## Practice location
- **Address:** 4310 CHICOT ST, Pascagoula, MS 39581-4700
- **Phone:** (717) 421-5490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508353384) · Data from the CMS NPPES public registry.