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TOTAL HEALTHCARE CLINIC LLC
NPI 1598306920
Family Medicine in Jackson, MS

Active since October 07, 2019CLIA 25D2175640 · Waiver
2964 TERRY RD STE B1, JACKSON, MS 39212(601) 321-9453(601) 398-4699 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 20, 2020, Nov 22, 2019, Oct 7, 2019 (3 updates tracked since 2019).

About Total Healthcare Clinic Llc NPPES

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

TOTAL HEALTHCARE CLINIC LLC (NPI 1598306920) is a healthcare organization registered as a family medicine in Jackson, Mississippi and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Marsha Lynn Austin, Fnp, as its authorized official.

NPPES Registry Identity

NPI1598306920
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTOTAL HEALTHCARE CLINIC LLC
Location Address2964 TERRY RD STE B1Jackson, MS 39212-3070
Mailing Address2964 Terry Rd Ste B-1Jackson, MS 39212-3070 · (601) 321-9453 · Fax (601) 398-4699
Phone(601) 321-9453
Fax(601) 398-4699
Organization SubpartNo
Authorized OfficialMarsha Lynn AustinFnp · (601) 321-9453
Enumeration DateOctober 7, 2019
Last NPPES UpdateMay 20, 20203 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1598306920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2964 TERRY RD STE B1, Jackson, MS 39212
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Total Healthcare 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 Total Healthcare Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marsha Austin, FNP-BC
Nurse Practitioner
NPI 1851622120
3502 W NORTHSIDE DR
Jackson, MS 39213
(601) 362-5321
✔ PECOS✔ Accepts Medicare6.4 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 of Waiver 25D2175640

Total Healthcare Clinic LLC · Jackson, MS
Active · expires Nov 24, 2027
CLIA Number25D2175640
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorMarsha Austin
Laboratory Phone(601) 321-9453
Laboratory LocationTotal Healthcare Clinic LLC2964 Terry Rd Ste B-1, Jackson, MS 39212
CLIA data matches this NPI record on: Address Name Phone
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 Total Healthcare Clinic LLC's NPI number?

The NPI number for Total Healthcare Clinic LLC is 1598306920. It was assigned to this organization in the NPPES registry on October 7, 2019.

Where is Total Healthcare Clinic LLC located?

Total Healthcare Clinic LLC is located at 2964 Terry Rd Ste B1, Jackson, MS 39212. The listed phone number is (601) 321-9453.

What is Total Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Total Healthcare Clinic LLC enrolled in Medicare?

Yes. Total Healthcare Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Total Healthcare Clinic LLC?

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

Yes. A Certificate of Waiver (number 25D2175640) is associated with this NPI, valid through November 24, 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 Total Healthcare Clinic LLC was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.