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: October 25, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anderson Family Medical Center - Enterprise is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

172

Medicare enrollment records show 172 clinicians reassign Medicare billing to Anderson Family Medical Center - Enterprise, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Nurse Practitioner66
Internal Medicine17
Family Practice15
Diagnostic Radiology10
Emergency Medicine10
Obstetrics/Gynecology9
General Surgery6
Nephrology5
17 other specialties34

Nearest to this location (20)

See all 172
Nurse Practitioner
NPI 1154629178
83A OLD MILL CREEK RD
Enterprise, MS 39330
(601) 704-1020
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1962451757
ANDERSON REGIONAL MEDICAL CENTER 2124 14TH STREET
Meridian, MS 39301
(678) 701-8267
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1144862970
109 E DONALD ST STE 3
Quitman, MS 39355
(601) 830-5757
✔ PECOS✔ Accepts Medicare11 mi
Certified Nurse Midwife (CNM)
NPI 1083869218
2420 11TH ST
Meridian, MS 39301
(601) 485-8974
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1851495295
2420 11TH STREET
Meridian, MS 39301
(601) 485-8974
✔ PECOS✔ Accepts Medicare15 mi
Emergency Medicine
NPI 1164436044
1102 CONSTITUTION AVE
Meridian, MS 39301
(601) 693-2511
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1225690100
905C S FRONTAGE RD
Meridian, MS 39301
(601) 482-4955
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1235495474
2424 15TH ST FL 4
Meridian, MS 39301
(601) 553-2000
✔ PECOS✔ Accepts Medicare15 mi
General Surgery
NPI 1326669409
2111 14TH ST
Meridian, MS 39301
(601) 693-3834
✔ PECOS15 mi
Cardiac Surgery
NPI 1336370576
1400 20TH AVE STE F
Meridian, MS 39301
(601) 553-2135
✔ PECOS✔ Accepts Medicare15 mi
Nephrology
NPI 1336126911
1600 22ND AVE MEDICAL TOWERS III
Meridian, MS 39301
(601) 483-5322
✔ PECOS✔ Accepts Medicare15 mi
Gastroenterology
NPI 1427031731
1600 22ND AVE
Meridian, MS 39301
(601) 483-5322
✔ PECOS✔ Accepts Medicare15 mi
Pediatric Medicine
NPI 1356504872
1600 22ND AVE FL 3
Meridian, MS 39301
(601) 703-8370
✔ PECOS15 mi
Podiatry
NPI 1407922867
1600 22ND AVE
Meridian, MS 39301
(601) 483-5322
✔ PECOS✔ Accepts Medicare15 mi
Qualified Audiologist
NPI 1518325299
1600 22ND AVE
Meridian, MS 39301
(601) 483-5322
✔ Accepts Medicare15 mi
Urology
NPI 1821124728
1600 22ND AVE MEDICAL TOWERS III, 3RD FLOOR
Meridian, MS 39301
(601) 693-1055
✔ PECOS✔ Accepts Medicare15 mi
Pulmonary Disease
NPI 1760469340
1600 22ND AVE MEDICAL TOWERS III
Meridian, MS 39301
(601) 483-5322
✔ PECOS✔ Accepts Medicare15 mi
Sleep Medicine
NPI 1215933924
2124 14TH ST
Meridian, MS 39301
(601) 553-6466
✔ PECOS✔ Accepts Medicare15 mi
Radiation Oncology
NPI 1437592276
1704 23RD AVE
Meridian, MS 39301
(601) 485-5081
✔ PECOS✔ Accepts Medicare16 mi
General Practice
NPI 1245232495
2024 15TH ST FL 2
Meridian, MS 39301
(601) 553-2000
✔ PECOS✔ Accepts Medicare16 mi
See all 172 clinicians

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 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.

Is Anderson Physician Alliance, Inc. enrolled in Medicare?

Yes. Anderson Physician Alliance, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anderson Physician Alliance, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 172 clinicians in 25 Medicare specialties reassign their Medicare billing to Anderson Physician Alliance, Inc.. 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. The largest specialties are Nurse Practitioner (66), Internal Medicine (17) and Family Practice (15). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.