CMA FAMILY MEDICINE CLINIC
NPI 1740278738
Legal Medicine in Tylertown, MS
About Cma Family Medicine Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CMA FAMILY MEDICINE CLINIC (NPI 1740278738) is a healthcare organization registered as a legal medicine in Tylertown, Mississippi and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Gregory Armstrong, Clinic Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cma Family Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Cma Family Medicine Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 25D0975413
Cma Family Medicine Clinic · Tylertown, MSFrequently 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 Cma Family Medicine Clinic's NPI number?
The NPI number for Cma Family Medicine Clinic is 1740278738. It was assigned to this organization in the NPPES registry on October 12, 2005.
Where is Cma Family Medicine Clinic located?
Cma Family Medicine Clinic is located at 155 Hospital Dr, Tylertown, MS 39667. The listed phone number is (601) 876-5337.
What is Cma Family Medicine Clinic's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
Is Cma Family Medicine Clinic enrolled in Medicare?
Yes. Cma Family Medicine Clinic is registered in the Medicare PECOS enrollment system.
When is Cma Family Medicine Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Cma Family Medicine Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Cma Family Medicine Clinic. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cma Family Medicine Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0975413) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cma Family Medicine Clinic 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 Cma Family Medicine Clinic 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 Cma Family Medicine Clinic was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Cma Family Medicine Clinic · NPI 1740278738
Legal Medicine organization in Tylertown, Mississippi. Organization record, active in the CMS NPPES registry since October 12, 2005.
## Identity
- **NPI:** 1740278738 (Entity type: Organization)
- **Enumerated:** October 12, 2005
- **Primary specialty:** Legal Medicine · taxonomy 173000000X
- **Organization subpart:** No
- **Authorized official:** Gregory Armstrong, CLINIC MANAGER
## Practice location
- **Address:** 155 HOSPITAL DR, Tylertown, MS 39667-2021
- **Phone:** (601) 876-5337 · **Fax:** (601) 876-5045
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2008
- **Other identifiers:** Medicare ID-Type Unspecified C02593 (MS); Medicaid 09015286 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740278738) · Data from the CMS NPPES public registry.