MLP CHURCH MD FAMILY PRACTICE, INC.
NPI 1710215538
Family Medicine in Wilkesboro, NC
About Mlp Church Md Family Practice, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MLP CHURCH MD FAMILY PRACTICE, INC. (NPI 1710215538) is a healthcare organization registered as a family medicine in Wilkesboro, North Carolina and active in the NPI registry since December 2009. The organization holds a CLIA Microscopy certificate valid through April 23, 2027 and lists Mary Louise Parker Church, President / 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)
Mlp Church Md Family Practice, Inc. 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 Mlp Church MD Family Practice, Inc., 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 for Provider-Performed Microscopy Procedures (PPMP) 34D0900457
Mlp Church MD / Family Practice, Inc · Wilkesboro, NCFrequently 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 Mlp Church MD Family Practice, Inc.'s NPI number?
The NPI number for Mlp Church MD Family Practice, Inc. is 1710215538. It was assigned to this organization in the NPPES registry on December 7, 2009.
Where is Mlp Church MD Family Practice, Inc. located?
Mlp Church MD Family Practice, Inc. is located at 1707 Industrial Dr, Wilkesboro, NC 28697. The listed phone number is (336) 667-6363.
What is Mlp Church MD Family Practice, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mlp Church MD Family Practice, Inc. enrolled in Medicare?
Yes. Mlp Church MD Family Practice, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mlp Church MD Family Practice, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mlp Church MD Family Practice, Inc.. 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 Mlp Church MD Family Practice, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0900457) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mlp Church MD Family Practice, Inc. accept?
Health plans from Blue Cross and Blue Shield of NC list Mlp Church MD Family Practice, Inc. 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 Mlp Church MD Family Practice, Inc. was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mlp Church Md Family Practice, Inc. · NPI 1710215538
Family Medicine organization in Wilkesboro, North Carolina. Organization record, active in the CMS NPPES registry since December 7, 2009.
## Identity
- **NPI:** 1710215538 (Entity type: Organization)
- **Enumerated:** December 7, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mary Louise Church, PRESIDENT / OWNER
## Practice location
- **Address:** 1707 INDUSTRIAL DR, Wilkesboro, NC 28697-7345
- **Phone:** (336) 667-6363 · **Fax:** (336) 667-8066
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2009
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710215538) · Data from the CMS NPPES public registry.