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

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: July 19, 2026.

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

What is SOUTHERN REMEDY FAMILY MEDICINE's NPI number?

The NPI number assigned to this healthcare provider is 1639944416, enumerated as an "organization" on November 21, 2023.

Where is the provider located?

The provider is located at 3000 PLAZA DR STE C TYLERTOWN, MS 39667 and the phone number is (601) 803-5676.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

What insurance does SOUTHERN REMEDY FAMILY MEDICINE accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.