WINSTON MEDICAL CLINIC LLC
NPI 1629417324
Clinic/Center - Rural Health in Louisville, MS

Active since June 17, 2013
923 S CHURCH AVE, LOUISVILLE, MS 39339(662) 773-3503(662) 446-1039 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 19, 2017, Aug 10, 2016 (2 updates tracked since 2016).

About Winston Medical Clinic Llc NPPES

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

WINSTON MEDICAL CLINIC LLC (NPI 1629417324) is a healthcare organization registered as a rural health in Louisville, Mississippi and active in the NPI registry since June 2013. The organization lists Debbie J Fryery, Director Of Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1629417324
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWINSTON MEDICAL CLINIC LLC
Location Address923 S CHURCH AVELouisville, MS 39339
Mailing AddressP O Box 470Louisville, MS 39339 · (662) 773-3503 · Fax (662) 446-1039
Fax(662) 446-1039
Organization SubpartNo
Authorized OfficialDebbie J FryeryDirector Of Clinic Operations · (662) 446-1972
Enumeration DateJune 17, 2013
Last NPPES UpdateJanuary 19, 20172 updates tracked since enumeration
NPI 1629417324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
923 S CHURCH AVE, Louisville, MS 39339

Other Identifiers 2

Medicaid01689827MS
Medicare OSCAR/certification258593MS

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 Compliance 25D1007731

Winston Medical Clinic LLC · Louisville, MS
Expired · Jul 28, 2026
CLIA Number25D1007731
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorMichael L. Ard
Laboratory Phone(662) 773-3503
Laboratory LocationWinston Medical Clinic LLC17540 E Main St, Louisville, MS 39339
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
923 S CHURCH AVE
LOUISVILLE, MS 39339

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 1629417324. It was assigned to this organization in the NPPES registry on June 17, 2013.

Where is Winston Medical Clinic LLC located?

Winston Medical Clinic LLC is located at 923 S Church Ave, Louisville, MS 39339. The listed phone number is (662) 773-3503.

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.

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 January 19, 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.