THE YAZOO CITY MEDICAL CLINIC
NPI 1770745861
Family Medicine in Yazoo City, MS

Active since June 30, 2008
805 E FIFTEENTH ST, YAZOO CITY, MS 39194(662) 746-6083(662) 746-1954 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About The Yazoo City Medical Clinic NPPES

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

THE YAZOO CITY MEDICAL CLINIC (NPI 1770745861) is a healthcare organization registered as a family medicine in Yazoo City, Mississippi and active in the NPI registry since June 2008. The organization lists Heath E Scott, President, as its authorized official.

NPPES Registry Identity

NPI1770745861
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYAZOO FAMILY MEDICINE PA
Location Address805 E FIFTEENTH STYazoo City, MS 39194-7607
Mailing AddressPo Box 1509Yazoo City, MS 39194-1509 · (662) 746-6083 · Fax (662) 746-1954
Fax(662) 746-1954
Organization SubpartNo
Authorized OfficialHeath E ScottPresident · (662) 746-6083
Enumeration DateJune 30, 2008
Last NPPES UpdateApril 22, 2009
✔ NPI 1770745861 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.
805 E FIFTEENTH ST, Yazoo City, MS 39194

Other Names 1

Doing Business AsThe Yazoo City Medical Clinic

Other Identifiers 1

Medicare NSC6170300001MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

The Yazoo City Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20080929000404Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to The Yazoo City Medical Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1770075665
805 E FIFTEENTH ST
Yazoo City, MS 39194
(662) 746-6083
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1467886937
805 E FIFTEENTH ST
Yazoo City, MS 39194
(662) 746-6083
✔ PECOS✔ Accepts Medicare5.9 mi
Family Practice
NPI 1205881489
805 E FIFTEENTH ST
Yazoo City, MS 39194
(662) 746-6083
✔ PECOS✔ Accepts Medicare5.9 mi
Family Practice
NPI 1316033574
5371 KOLOA ROAD
Koloa, HI 96756
(808) 742-1621
✔ PECOS✔ Accepts Medicare4,240 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Yazoo Family Medicine PA's NPI number?

The NPI number for Yazoo Family Medicine PA is 1770745861. It was assigned to this organization in the NPPES registry on June 30, 2008. The provider is doing business as The Yazoo City Medical Clinic.

Where is Yazoo Family Medicine PA located?

Yazoo Family Medicine PA is located at 805 E Fifteenth St, Yazoo City, MS 39194. The listed phone number is (662) 746-6083.

What is Yazoo Family Medicine PA's specialty?

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

Is Yazoo Family Medicine PA enrolled in Medicare?

Yes. Yazoo Family Medicine PA is registered in the Medicare PECOS enrollment system.

When is Yazoo Family Medicine PA'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 December 31, 2026. 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 Yazoo Family Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Yazoo Family Medicine PA, 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Yazoo Family Medicine PA accept?

Health plans from Molina Healthcare list Yazoo Family Medicine PA 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 Yazoo Family Medicine PA was last updated on April 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.