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

Active since November 21, 2023
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: November 08, 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 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Remedy Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Remedy Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chelsea Hill, FNP-C
Nurse Practitioner
NPI 1235646688
3000 PLAZA DR STE C
Tylertown, MS 39667
(601) 803-5676
✔ PECOS✔ Accepts MedicareSame address
Bruce Hill, FNP-C
Nurse Practitioner
NPI 1922559772
215 MARION AVE
Mccomb, MS 39648
(601) 249-1382
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Southern Remedy Family Medicine enrolled in Medicare?

Yes. Southern Remedy Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Remedy Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Southern Remedy Family Medicine. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.