WINSTON MEDICAL CLINIC NOXAPATER
NPI 1588091714
Clinic/Center - Rural Health in Noxapater, MS
About Winston Medical Clinic Noxapater NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINSTON MEDICAL CLINIC NOXAPATER (NPI 1588091714) is a healthcare organization registered as a rural health in Noxapater, Mississippi and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Debra J Fryery, Director Of Clinic Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Winston Medical Clinic Noxapater is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Winston Medical Clinic Noxapater, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 25D2066732
Winston Medical Clinic Noxapater · Noxapater, 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 Winston Medical Clinic LLC's NPI number?
The NPI number for Winston Medical Clinic LLC is 1588091714. It was assigned to this organization in the NPPES registry on October 2, 2013. The provider is doing business as Winston Medical Clinic Noxapater.
Where is Winston Medical Clinic LLC located?
Winston Medical Clinic LLC is located at 90 East Main Street, Noxapater, MS 39346. The listed phone number is (662) 724-4051.
What is Winston Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Winston Medical Clinic LLC enrolled in Medicare?
Yes. Winston Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Winston Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Winston 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. The largest specialties are Nurse Practitioner (8) and Family Practice (4). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Winston Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2066732) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Winston Medical Clinic LLC 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 Winston Medical Clinic LLC 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 Winston Medical Clinic LLC was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Winston Medical Clinic Noxapater · NPI 1588091714
Rural Health organization in Noxapater, Mississippi. Organization record, active in the CMS NPPES registry since October 2, 2013.
## Identity
- **NPI:** 1588091714 (Entity type: Organization)
- **Enumerated:** October 2, 2013
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Winston Medical Clinic Llc
- **Organization subpart:** Yes (part of Winston Medical Clinic Llc)
- **Authorized official:** Debra Fryery, DIRECTOR OF CLINIC OPERATIONS
## Practice location
- **Address:** 90 EAST MAIN STREET, Noxapater, MS 39346
- **Phone:** (662) 724-4051 · **Fax:** (662) 724-4054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (4); 11 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1588091714) · Data from the CMS NPPES public registry.