WINSTON MEDICAL CLINIC NOXAPATER
NPI 1588091714
Clinic/Center - Rural Health in Noxapater, MS

Active since October 02, 2013CLIA 25D2066732 · Waiver
90 EAST MAIN STREET, NOXAPATER, MS 39346(662) 724-4051(662) 724-4054 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1588091714
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWINSTON MEDICAL CLINIC LLC
Location Address90 EAST MAIN STREETNoxapater, MS 39346
Mailing AddressPo Box 470Louisville, MS 39339-0470 · (662) 446-1972 · Fax (662) 446-1039
Fax(662) 724-4054
Organization SubpartYes
Authorized OfficialDebra J FryeryDirector Of Clinic Operations · (662) 446-1972
Enumeration DateOctober 2, 2013
Last NPPES UpdateFebruary 9, 2017
NPI 1588091714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
90 EAST MAIN STREET, Noxapater, MS 39346

Other Names 1

Doing Business AsWinston Medical Clinic Noxapater

Accepted Insurance

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, MS
Active · expires Oct 2, 2027
CLIA Number25D2066732
Laboratory TypePractitioner Other
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorMichael L. Ard
Laboratory Phone(662) 779-5126
Laboratory LocationWinston Medical Clinic Noxapater90 E Main Street, Noxapater, MS 39346
CLIA data matches this NPI record on: Address Name
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 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.

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 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 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.