WARE FAMILY PRACTICE LLC
NPI 1730829060
Clinic/Center - Primary Care in Prentiss, MS

Active since April 01, 2022CLIA 25D2261840 · Waiver
972 COLUMBIA AVE, PRENTISS, MS 39474(601) 792-5343 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ware Family Practice Llc NPPES

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

WARE FAMILY PRACTICE LLC (NPI 1730829060) is a healthcare organization registered as a primary care in Prentiss, Mississippi and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists Ashley Kirby Ware, Owner, as its authorized official.

NPPES Registry Identity

NPI1730829060
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWARE FAMILY PRACTICE LLC
Location Address972 COLUMBIA AVEPrentiss, MS 39474-5405
Mailing AddressPo Box 2275Prentiss, MS 39474-2275 · (601) 792-5343 · Fax (601) 792-5345
Organization SubpartNo
Authorized OfficialAshley Kirby WareOwner · (601) 543-5859
Enumeration DateApril 1, 2022
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1730829060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
972 COLUMBIA AVE, Prentiss, MS 39474

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)

Ware Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ware Family Practice LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1912258450
972 COLUMBIA AVE
Prentiss, MS 39474
(601) 792-5343
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1952465619
1320 WINFIELD AVE
Prentiss, MS 39474
(601) 792-1172
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1407398845
500 PINE GROVE CHURCH RD
Foxworth, MS 39483
(601) 731-4504
✔ PECOS✔ Accepts Medicare21 mi

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 25D2261840

Ware Family Practice · Prentiss, MS
Active · expires Jun 5, 2028
CLIA Number25D2261840
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorShulanda Laird
Laboratory Phone(601) 792-5343
Laboratory LocationWare Family Practice972 Columbia Avenue, Prentiss, MS 39474
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ware Family Practice LLC's NPI number?

The NPI number for Ware Family Practice LLC is 1730829060. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is Ware Family Practice LLC located?

Ware Family Practice LLC is located at 972 Columbia Ave, Prentiss, MS 39474. The listed phone number is (601) 792-5343.

What is Ware Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Ware Family Practice LLC enrolled in Medicare?

Yes. Ware Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ware Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ware Family Practice LLC, in Family Practice and Nurse Practitioner. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ware Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2261840) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ware Family Practice LLC 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 Ware Family Practice LLC 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 Ware Family Practice LLC was last updated on August 8, 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.