FAMILY MEDICAL CENTER
NPI 1720585490
Clinic/Center - Rural Health in Marks, MS

Active since April 10, 2018
1024 MARTIN LUTHER KING DR, MARKS, MS 38646(662) 326-3502(662) 326-2555 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 1, 2023, Jul 22, 2020, Apr 19, 2018 and 1 more (4 updates tracked since 2018).

About Family Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICAL CENTER (NPI 1720585490) is a healthcare organization registered as a rural health in Marks, Mississippi and active in the NPI registry since April 2018. The organization lists Lonnie Moore, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720585490
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDELTA MEDICAL FOUNDATION
Location Address1024 MARTIN LUTHER KING DRMarks, MS 38646-1832
Mailing AddressPo Box 289Marks, MS 38646-0289 · (662) 326-3502
Fax(662) 326-2555
Organization SubpartNo
Authorized OfficialLonnie MooreExecutive Director · (662) 326-3500
Enumeration DateApril 10, 2018
Last NPPES UpdateMarch 1, 20234 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1720585490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1024 MARTIN LUTHER KING DR, Marks, MS 38646

Other Names 1

Doing Business AsFamily Medical Center

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)

Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Family Medical Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1962852988
1022 MARTIN LUTHER KING DR
Marks, MS 38646
(662) 326-3500
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1821001041
1024 MARTIN LUTHER KING DRIVE
Marks, MS 38646
(662) 326-3502
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1841951928
1024 M.L.K. JR. DR.
Marks, MS 38646
(662) 326-3502
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1780157727
551 MEDICAL DR
Clarksdale, MS 38614
(662) 624-2531
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1841076403
551 MEDICAL DR
Clarksdale, MS 38614
(662) 624-2531
✔ PECOS✔ Accepts Medicare16 mi
Emergency Medicine
NPI 1427073170
1970 HOSPITAL DR
Clarksdale, MS 38614
(662) 624-3580
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1376243196
800 VINEY RIDGE RD
Clarksdale, MS 38614
(662) 645-1959
✔ PECOS19 mi
Nurse Practitioner
NPI 1639551583
1015 LEE DR STE 13
Clarksdale, MS 38614
(662) 592-4170
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1124574231
401 E LEE ST
Sardis, MS 38666
(662) 487-0004
✔ PECOS✔ Accepts Medicare24 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 Delta Medical Foundation's NPI number?

The NPI number for Delta Medical Foundation is 1720585490. It was assigned to this organization in the NPPES registry on April 10, 2018. The provider is doing business as Family Medical Center.

Where is Delta Medical Foundation located?

Delta Medical Foundation is located at 1024 Martin Luther King Dr, Marks, MS 38646. The listed phone number is (662) 326-3502.

What is Delta Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Delta Medical Foundation enrolled in Medicare?

Yes. Delta Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Delta Medical Foundation. 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. The largest specialties are Nurse Practitioner (7), Emergency Medicine (1) and Family Practice (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Delta Medical Foundation accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Delta Medical Foundation 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 Delta Medical Foundation was last updated on March 1, 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.