TUPELO PRIMARY CARE
NPI 1649976770
Nurse Practitioner - Primary Care in Wewahitchka, FL

Active since January 31, 2023CLIA 10D2302842 · Waiver
412 N HIGHWAY 71, WEWAHITCHKA, FL 32465(850) 227-8561 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2023, Jan 31, 2023 (2 updates tracked since 2023).

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

NPI1649976770
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTUPELO PRIMARY CARE
Location Address412 N HIGHWAY 71Wewahitchka, FL 32465-4061
Mailing Address412 N Highway 71Wewahitchka, FL 32465-4061 · (850) 227-8561
Organization SubpartNo
Authorized OfficialAmy MillerOwner · (850) 227-8561
Enumeration DateJanuary 31, 2023
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
NPI 1649976770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
412 N HIGHWAY 71, Wewahitchka, FL 32465

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Waiver 10D2302842

Tupelo Primary Care · Wewahitchka, FL
Active · expires Apr 16, 2028
CLIA Number10D2302842
Laboratory TypePractitioner Other
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorAmy L. Miller
Laboratory Phone(850) 639-4036
Laboratory LocationTupelo Primary Care412 N Hwy 71, Wewahitchka, FL 32465
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
412 N HIGHWAY 71
WEWAHITCHKA, FL 32465
Family Medicine
412 N HIGHWAY 71
WEWAHITCHKA, FL 32465

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 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.

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 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.