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HORN LAKE FAMILY PRACTICE INC
NPI 1508968421
Family Medicine - Adolescent Medicine in Horn Lake, MS

Active since September 01, 2006
3102 GOODMAN RD W, HORN LAKE, MS 38637(662) 342-6677(662) 342-1213 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1508968421
Entity TypeOrganization
Primary Taxonomy207QA0000X
Legal Business NameHORN LAKE FAMILY PRACTICE INC
Location Address3102 GOODMAN RD WHorn Lake, MS 38637-1172
Mailing Address3102 Goodman Rd WHorn Lake, MS 38637-1172 · (662) 342-6677 · Fax (662) 342-1213
Phone(662) 342-6677
Fax(662) 342-1213
Organization SubpartNo
Authorized OfficialSheetal SharmaOffice Manager · (662) 342-6677
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 21, 2015
✔ NPI 1508968421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
License✔ Licensed in MS · 15476
Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

3102 GOODMAN RD W, Horn Lake, MS 38637
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Other Identifiers 6

Medicaid00118511MS
Medicare ID-Type UnspecifiedC03354MS · Mcr Grop Provider #
Medicare ID-Type Unspecified080002652MS · Dr A Sharma Medicare #
Medicaid9015003MS
Medicare UPING55248MS
Medicare UPINI36533MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CARRIE JAMES WORSHAM NP
Nurse Practitioner (Family)
3102 GOODMAN RD W
HORN LAKE, MS 38637
Desoto County (662) 342-6677
DR. ACHIN SHARMA M.D.
Family Medicine
3102 GOODMAN RD W
HORN LAKE, MS 38637
Desoto County (662) 342-6677
HORN LAKE FAMILY PRACTICE
Pharmacy (Community/Retail Pharmacy)
3102 GOODMAN RD W
HORN LAKE, MS 38637
Desoto County (662) 342-6677
MELISSA A BREITLING MD
Emergency Medicine
3102 GOODMAN RD W
HORN LAKE, MS 38637
Desoto County (662) 342-6677
ASHLEY MARISSA CRADDOCK FNP
Nurse Practitioner (Family)
3102 GOODMAN RD W
HORN LAKE, MS 38637
Desoto County (662) 342-6676

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.

What insurance does Horn Lake Family Practice Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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 with the weekly NPPES data releases published by CMS.