HORN LAKE FAMILY PRACTICE INC
NPI 1508968421
Family Medicine - Adolescent Medicine in Horn Lake, MS
About Horn Lake Family Practice Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HORN LAKE FAMILY PRACTICE INC (NPI 1508968421) is a healthcare organization registered as an adolescent medicine in Horn Lake, Mississippi and active in the NPI registry since September 2006. The organization lists Sheetal Sharma, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Group Practice 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)
Horn Lake Family Practice Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Horn Lake Family Practice Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Horn Lake Family Practice Inc's NPI number?
The NPI number for Horn Lake Family Practice Inc is 1508968421. It was assigned to this organization in the NPPES registry on September 1, 2006.
Where is Horn Lake Family Practice Inc located?
Horn Lake Family Practice Inc is located at 3102 Goodman Rd W, Horn Lake, MS 38637. The listed phone number is (662) 342-6677.
What is Horn Lake Family Practice Inc's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.
Is Horn Lake Family Practice Inc enrolled in Medicare?
Yes. Horn Lake Family Practice Inc is registered in the Medicare PECOS enrollment system.
When is Horn Lake Family Practice Inc'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 March 31, 2027. 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 Horn Lake Family Practice Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Horn Lake Family Practice Inc. 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 (5) and Family Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Horn Lake Family Practice Inc 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 Horn Lake Family Practice Inc 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 Horn Lake Family Practice Inc was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Horn Lake Family Practice Inc · NPI 1508968421
Adolescent Medicine organization in Horn Lake, Mississippi. Organization record, active in the CMS NPPES registry since September 1, 2006.
## Identity
- **NPI:** 1508968421 (Entity type: Organization)
- **Enumerated:** September 1, 2006
- **Primary specialty:** Family Medicine - Adolescent Medicine · taxonomy 207QA0000X
- **Organization subpart:** No
- **Authorized official:** Sheetal Sharma, OFFICE MANAGER
## Practice location
- **Address:** 3102 GOODMAN RD W, Horn Lake, MS 38637-1172
- **Phone:** (662) 342-6677 · **Fax:** (662) 342-1213
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2015
- **Other identifiers:** Medicaid 00118511 (MS); Medicare ID-Type Unspecified C03354 (MS); Medicare ID-Type Unspecified 080002652 (MS); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1508968421) · Data from the CMS NPPES public registry.