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SLUDER MEDICAL CLINIC, LLC
NPI 1740350628
Nurse Practitioner - Family in Senatobia, MS

Active since November 08, 2006CLIA 25D1062486 · Certificate of Compliance
2778 HIGHWAY 51 S, SENATOBIA, MS 38668(662) 429-4988(662) 429-4966 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2024, May 27, 2021, Jul 14, 2017 and 1 more (4 updates tracked since 2016).

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

NPI1740350628
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHERNANDO FAMILY MEDICAL CLINIC, LLC
Location Address2778 HIGHWAY 51 SSenatobia, MS 38668-9403
Mailing Address2778 Highway 51 SSenatobia, MS 38668-9403 · (662) 429-4988 · Fax (662) 429-4966
Phone(662) 429-4988
Fax(662) 429-4966
Organization SubpartNo
Authorized OfficialLisa WynnBilling Manager · (662) 429-4988
Enumeration DateNovember 8, 2006
Last NPPES UpdateApril 3, 20244 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1740350628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2778 HIGHWAY 51 S, Senatobia, MS 38668
Open in Google Maps ↗

Other Names 1

Doing Business AsSluder Medical Clinic, Llc

Other Identifiers 1

Medicaid000735805MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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, MS
Active · expires Mar 16, 2027
CLIA Number25D1062486
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorMeredith Brown
Laboratory Phone(662) 429-4988
Laboratory LocationSluder Medical Clinic2778 Highway 51 South, Senatobia, MS 38668
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE SOLDEVILA NP
Nurse Practitioner
2778 HIGHWAY 51 S
SENATOBIA, MS 38668
Tate County (662) 767-4200
SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
Orthopaedic Surgery
2778 HIGHWAY 51 S
SENATOBIA, MS 38668
Tate County (662) 767-4200
DR. MICHAEL BRIAN BAGWELL D.O.
Family Medicine
2778 HIGHWAY 51 S
SENATOBIA, MS 38668
Tate County (662) 560-5966
KATELYN MCCLUSKEY LILES PA-C
Physician Assistant (Medical)
2778 HIGHWAY 51 S
SENATOBIA, MS 38668
Tate County (662) 560-5966
SHARA SMITH BLEDSOE DNP, FNP-C
Nurse Practitioner (Family)
2778 HIGHWAY 51 S
SENATOBIA, MS 38668
Tate County (662) 560-5966
DR. SAVANNAH SIMPSON BARNES DNP, FNP-C
Nurse Practitioner (Family)
2778 HIGHWAY 51 S
SENATOBIA, MS 38668
Tate County (662) 560-5966
VANESSA K. SLUDER NP
Nurse Practitioner (Family)
2778 HIGHWAY 51 S
SENATOBIA, MS 38668
Tate County (662) 429-4988
STACY CAMPBELL FNP-C
Nurse Practitioner (Family)
2778 HIGHWAY 51 S
SENATOBIA, MS 38668
Tate County (662) 429-4988

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 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.

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 with the weekly NPPES data releases published by CMS.