SOUTHERN REMEDY FAMILY MEDICINE
NPI 1639944416
Clinic/Center - Primary Care in Tylertown, MS

Q: What is Southern Remedy Family Medicine's NPI number?

The NPI number for Southern Remedy Family Medicine is 1639944416. It was assigned to this organization in the NPPES registry on November 21, 2023.

Q: What is Southern Remedy Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since November 21, 2023CLIA 25D2294602 · Waiver

3000 PLAZA DR STE C, TYLERTOWN, MS 39667(601) 803-5676(601) 803-5677 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southern Remedy Family Medicine NPPES

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

SOUTHERN REMEDY FAMILY MEDICINE (NPI 1639944416) is a healthcare organization registered as a primary care in Tylertown, Mississippi and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Chelsea Hill, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1639944416

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSOUTHERN REMEDY FAMILY MEDICINE

Location Address3000 PLAZA DR STE CTylertown, MS 39667-9227

Mailing Address3000 Plaza Dr Ste CTylertown, MS 39667-9227 · (601) 303-1111 · Fax (601) 803-5677

Phone(601) 803-5676

Fax(601) 803-5677

Organization SubpartNo

Authorized OfficialChelsea HillFnp-c · (601) 303-1111

Enumeration DateNovember 21, 2023

NPPES CertifiedNovember 21, 2023

✔ NPI 1639944416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

3000 PLAZA DR STE C, Tylertown, MS 39667

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Other Identifiers 2

Medicaid1235646688MS

Medicaid1922559772MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D2294602

Southern Remedy Family Medicine · Tylertown, MS

Active · expires Nov 27, 2027

CLIA Number25D2294602

Laboratory TypePractitioner Other

Certificate Effective DateNovember 28, 2025

Certificate Expiration DateNovember 27, 2027

Laboratory DirectorBruce E. Hill

Laboratory Phone(601) 803-5676

Laboratory LocationSouthern Remedy Family Medicine3000 Plaza Dr Ste C, Tylertown, MS 39667

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CHELSEA HILL FNP-C

Nurse Practitioner (Primary Care)

3000 PLAZA DR STE C
TYLERTOWN, MS 39667

Walthall County (601) 803-5676

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 Southern Remedy Family Medicine's NPI number?

The NPI number for Southern Remedy Family Medicine is 1639944416. It was assigned to this organization in the NPPES registry on November 21, 2023.

Where is Southern Remedy Family Medicine located?

Southern Remedy Family Medicine is located at 3000 Plaza Dr Ste C, Tylertown, MS 39667. The listed phone number is (601) 803-5676.

What is Southern Remedy Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Southern Remedy Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2294602) is associated with this NPI, valid through November 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Remedy Family Medicine 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 Southern Remedy Family Medicine 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 Southern Remedy Family Medicine was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.