SLUDER MEDICAL CLINIC, LLC
NPI 1740350628
Nurse Practitioner - Family in Senatobia, MS
About Sluder Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SLUDER MEDICAL CLINIC, LLC (NPI 1740350628) is a healthcare organization registered as a family in Senatobia, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 16, 2027 and lists Lisa Wynn, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Sluder Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Sluder Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Compliance 25D1062486
Sluder Medical Clinic · Senatobia, 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 Hernando Family Medical Clinic, LLC's NPI number?
The NPI number for Hernando Family Medical Clinic, LLC is 1740350628. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Sluder Medical Clinic, LLC.
Where is Hernando Family Medical Clinic, LLC located?
Hernando Family Medical Clinic, LLC is located at 2778 Highway 51 S, Senatobia, MS 38668. The listed phone number is (662) 429-4988.
What is Hernando Family Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hernando Family Medical Clinic, LLC enrolled in Medicare?
Yes. Hernando Family Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hernando Family Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Hernando Family Medical Clinic, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hernando Family Medical Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D1062486) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hernando Family Medical Clinic, LLC accept?
Health plans from Cigna Healthcare and Molina Healthcare list Hernando Family Medical Clinic, 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 Hernando Family Medical Clinic, LLC was last updated on April 3, 2024. 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.
# Sluder Medical Clinic, Llc · NPI 1740350628
Family organization in Senatobia, Mississippi. Organization record, active in the CMS NPPES registry since November 8, 2006.
## Identity
- **NPI:** 1740350628 (Entity type: Organization)
- **Enumerated:** November 8, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Hernando Family Medical Clinic, Llc
- **Organization subpart:** No
- **Authorized official:** Lisa Wynn, BILLING MANAGER
## Practice location
- **Address:** 2778 HIGHWAY 51 S, Senatobia, MS 38668-9403
- **Phone:** (662) 429-4988 · **Fax:** (662) 429-4966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2024
- **Other identifiers:** Medicaid 000735805 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740350628) · Data from the CMS NPPES public registry.