COLUMBUS FAMILY MEDICAL CLINIC LLC
NPI 1568344331
Nurse Practitioner - Family in Columbus, MS

Active since July 23, 2025CLIA 25D2336367 · Waiver
428 24TH AVE N, COLUMBUS, MS 39705(662) 265-3020 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Nov 3, 2025 (2 updates tracked since 2025).

About Columbus Family Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLUMBUS FAMILY MEDICAL CLINIC LLC (NPI 1568344331), doing business as Columbus Family Medical Clinic, is a healthcare organization registered as a family in Columbus, Mississippi and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Brittany Lee Bowen, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1568344331
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOLUMBUS FAMILY MEDICAL CLINIC LLC
Location Address428 24TH AVE NColumbus, MS 39705-1945
Mailing Address358 Sagamore CirColumbus, MS 39705-1147 · (662) 251-0342
Organization SubpartNo
Authorized OfficialBrittany Lee BowenFnp/owner · (662) 251-0342
Enumeration DateJuly 23, 2025
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1568344331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
428 24TH AVE N, Columbus, MS 39705

Other Names 1

Doing Business AsColumbus Family Medical Clinic

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Columbus Family Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Columbus Family Medical Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1043096308
428 24TH AVE N
Columbus, MS 39705
(662) 265-3020
✔ PECOS✔ Accepts MedicareSame address

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 25D2336367

Columbus Family Medicine Clinic · Columbus, MS
Active · expires Dec 30, 2027
CLIA Number25D2336367
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorBrittany L. Bowen
Laboratory Phone(662) 235-3020
Laboratory LocationColumbus Family Medicine Clinic428 24th Avenue N, Columbus, MS 39705
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Columbus Family Medical Clinic LLC's NPI number?

The NPI number for Columbus Family Medical Clinic LLC is 1568344331. It was assigned to this organization in the NPPES registry on July 23, 2025. The provider is doing business as Columbus Family Medical Clinic.

Where is Columbus Family Medical Clinic LLC located?

Columbus Family Medical Clinic LLC is located at 428 24th Ave N, Columbus, MS 39705. The listed phone number is (662) 265-3020.

What is Columbus Family Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Columbus Family Medical Clinic LLC enrolled in Medicare?

Yes. Columbus Family Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbus Family Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Columbus Family Medical Clinic LLC. 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 Columbus Family Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2336367) is associated with this NPI, valid through December 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Columbus Family Medical Clinic LLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.