SANDERSVILLE CLINIC
NPI 1578744900
Community Health Worker in Sandersville, MS

Active since November 14, 2007CLIA 25D2031994 · Microscopy
203 BROAD STREET, SANDERSVILLE, MS 39477(601) 428-9918(601) 649-5575 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sandersville Clinic NPPES

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

SANDERSVILLE CLINIC (NPI 1578744900) is a healthcare organization registered as a community health worker in Sandersville, Mississippi and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through November 1, 2027 and lists Rashad N. Ali, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1578744900
Entity TypeOrganization
Primary Taxonomy172V00000X
Legal Business NameFAMILY HEALTH CENTER, INC
Location Address203 BROAD STREETSandersville, MS 39477-0279
Mailing AddressP.o. Box 4361Laurel, MS 39441-4361 · (601) 425-3033 · Fax (601) 422-0431
Fax(601) 649-5575
Organization SubpartNo
Authorized OfficialRashad N. AliExecutive Director · (601) 425-3033
Enumeration DateNovember 14, 2007
Last NPPES UpdateNovember 16, 2010
✔ NPI 1578744900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
203 BROAD STREET, Sandersville, MS 39477

Other Names 1

Doing Business AsSandersville Clinic

Other Identifiers 5

Medicare UPINC00924
Medicaid9015884MS
Medicare PINC00924MS
Medicaid09015884MS
Medicare OSCAR/certification251899

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Sandersville Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Sandersville Clinic, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner14
Pediatric Medicine2
Dentist1
Internal Medicine1
Obstetrics/Gynecology1
Oral Surgery1

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1497187512
1250 W 1ST SUITE C
Laurel, MS 39440
(601) 274-4004
✔ PECOS7.6 mi
Pediatric Medicine
NPI 1275539017
117 SOUTH 11TH AVENUE
Laurel, MS 39440
(601) 425-3033
✔ PECOS8.9 mi
Nurse Practitioner
NPI 1386197697
117 S 11TH AVE
Laurel, MS 39440
(601) 425-3033
✔ PECOS8.9 mi
Nurse Practitioner
NPI 1053061424
117 S 11TH AVE
Laurel, MS 39440
(601) 425-3033
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1780927442
117 S 11TH AVE
Laurel, MS 39440
(601) 425-3033
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1679297436
117 S 11TH AVE
Laurel, MS 39440
(601) 425-3033
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1548656614
117 S 11TH AVE
Laurel, MS 39440
(601) 425-3033
✔ PECOS✔ Accepts Medicare8.9 mi
Internal Medicine
NPI 1518159391
117 SOUTH 11TH AVENUE
Laurel, MS 39440
(601) 425-3033
✔ PECOS✔ Accepts Medicare8.9 mi
Oral Surgery
NPI 1265719959
117 S 11TH AVE
Laurel, MS 39440
(601) 425-3033
✔ PECOS8.9 mi
Nurse Practitioner
NPI 1437969391
135 S 11TH AVE
Laurel, MS 39440
(601) 399-1970
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1508406802
117 S 11TH AVE
Laurel, MS 39440
(601) 425-3033
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1093373110
117 S 11TH AVE
Laurel, MS 39440
(601) 425-3033
✔ PECOS✔ Accepts Medicare8.9 mi
Obstetrics/Gynecology
NPI 1649297201
103 SOUTH 12TH AVENUE
Laurel, MS 39440
(601) 399-1970
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1518571900
531 MS-23
Taylorsville, MS 39168
(601) 785-9580
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1144885195
713 LOMAX AVE
Waynesboro, MS 39367
(601) 671-2400
✔ PECOS24 mi
Nurse Practitioner
NPI 1649666744
100 S 20TH AVE STE A
Hattiesburg, MS 39401
(769) 250-8054
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1821650045
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(601) 450-0310
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1083170559
5003 HARDY ST STE 350
Hattiesburg, MS 39402
(601) 268-9393
✔ PECOS✔ Accepts Medicare37 mi
Pediatric Medicine
NPI 1649756461
1951 SOUTHMORE AVE.
Pasadena, TX 77502
(832) 548-5000
✔ PECOS393 mi
Dentist
NPI 1669902615
6161 EDSALL RD APT 1608
Alexandria, VA 22304
(404) 431-9587
✔ PECOS827 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 25D2031994

Family Health Center Inc · Sandersville, MS
Active · expires Nov 1, 2027
CLIA Number25D2031994
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorBernard Deasis
Laboratory Phone(601) 426-9918
Laboratory LocationFamily Health Center Inc203 Broad Street, Sandersville, MS 39477
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Family Health Center, Inc's NPI number?

The NPI number for Family Health Center, Inc is 1578744900. It was assigned to this organization in the NPPES registry on November 14, 2007. The provider is doing business as Sandersville Clinic.

Where is Family Health Center, Inc located?

Family Health Center, Inc is located at 203 Broad Street, Sandersville, MS 39477. The listed phone number is (601) 428-9918.

What is Family Health Center, Inc's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

Is Family Health Center, Inc enrolled in Medicare?

Yes. Family Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Family Health Center, 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 (14), Pediatric Medicine (2) and Dentist (1). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D2031994) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Health Center, 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 3 other insurers list Family Health Center, 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 Family Health Center, Inc was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.