TUPELO PRIMARY CARE
NPI 1649976770
Nurse Practitioner - Primary Care in Wewahitchka, FL
About Tupelo Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TUPELO PRIMARY CARE (NPI 1649976770) is a healthcare organization registered as a primary care in Wewahitchka, Florida and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Amy Miller, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tupelo Primary Care 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 Tupelo Primary Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2302842
Tupelo Primary Care · Wewahitchka, FLFrequently 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 Tupelo Primary Care's NPI number?
The NPI number for Tupelo Primary Care is 1649976770. It was assigned to this organization in the NPPES registry on January 31, 2023.
Where is Tupelo Primary Care located?
Tupelo Primary Care is located at 412 N Highway 71, Wewahitchka, FL 32465. The listed phone number is (850) 227-8561.
What is Tupelo Primary Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Tupelo Primary Care enrolled in Medicare?
Yes. Tupelo Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tupelo Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tupelo Primary Care. 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 Tupelo Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2302842) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tupelo Primary Care accept?
Health plans from Ambetter Health and Ambetter of Alabama list Tupelo Primary Care 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 Tupelo Primary Care was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tupelo Primary Care · NPI 1649976770
Primary Care organization in Wewahitchka, Florida. Organization record, active in the CMS NPPES registry since January 31, 2023.
## Identity
- **NPI:** 1649976770 (Entity type: Organization)
- **Enumerated:** January 31, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Amy Miller, OWNER
## Practice location
- **Address:** 412 N HIGHWAY 71, Wewahitchka, FL 32465-4061
- **Phone:** (850) 227-8561
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649976770) · Data from the CMS NPPES public registry.