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ANDERSON FAMILY MEDICAL CENTER - ENTERPRISE
NPI 1750671665
Family Medicine in Enterprise, MS

Active since April 12, 2011CLIA 25D2024344 · Waiver
83 OLD MILL CREEK ROAD, ENTERPRISE, MS 39330(601) 703-3465(601) 703-3408 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anderson Family Medical Center - Enterprise NPPES

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

ANDERSON FAMILY MEDICAL CENTER - ENTERPRISE (NPI 1750671665) is a healthcare organization registered as a family medicine in Enterprise, Mississippi and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Richard J. Hightower, President, as its authorized official.

NPPES Registry Identity

NPI1750671665
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANDERSON PHYSICIAN ALLIANCE, INC.
Location Address83 OLD MILL CREEK ROADEnterprise, MS 39330-9649
Mailing Address2124 14th StMeridian, MS 39301-4040 · (601) 553-6104 · Fax (601) 553-6144
Phone(601) 703-3465
Fax(601) 703-3408
Organization SubpartYes
Authorized OfficialRichard J. HightowerPresident · (601) 553-6104
Enumeration DateApril 12, 2011
✔ NPI 1750671665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
83 OLD MILL CREEK ROAD, Enterprise, MS 39330
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Other Names 1

Doing Business AsAnderson Family Medical Center - Enterprise

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

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 25D2024344

Anderson Family Medical Center - Enterprise · Enterprise, MS
Active · expires Mar 11, 2028
CLIA Number25D2024344
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorCharles R. Purdy
Laboratory Phone(601) 704-1020
Laboratory LocationAnderson Family Medical Center - Enterprise83A Old Mill Creek Road, Enterprise, MS 39330
CLIA data matches this NPI record on: Name
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 Anderson Physician Alliance, Inc.'s NPI number?

The NPI number for Anderson Physician Alliance, Inc. is 1750671665. It was assigned to this organization in the NPPES registry on April 12, 2011. The provider is doing business as Anderson Family Medical Center - Enterprise.

Where is Anderson Physician Alliance, Inc. located?

Anderson Physician Alliance, Inc. is located at 83 Old Mill Creek Road, Enterprise, MS 39330. The listed phone number is (601) 703-3465.

What is Anderson Physician Alliance, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Anderson Physician Alliance, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2024344) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anderson Physician Alliance, Inc. was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.