TOCCOPOLA FAMILY MEDICAL CLINIC
NPI 1780715912
Clinic/Center - Rural Health in Toccopola, MS

Active since March 08, 2007CLIA 25D0907036 · Waiver
7908 HWY 334, TOCCOPOLA, MS 38874(662) 281-8020(662) 281-8020 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 13, 2017, Jul 6, 2017 and 1 more (4 updates tracked since 2017).

About Toccopola Family Medical Clinic NPPES

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

TOCCOPOLA FAMILY MEDICAL CLINIC (NPI 1780715912) is a healthcare organization registered as a rural health in Toccopola, Mississippi and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Michelle Poole Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1780715912
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTOCCOPOLA FAMILY MEDICAL CLINIC, LLC
Location Address7908 HWY 334Toccopola, MS 38874-0389
Mailing AddressP.o. Box 389Toccopola, MS 38874-0389 · (662) 281-8003 · Fax (662) 281-8020
Fax(662) 281-8020
Organization SubpartNo
Authorized OfficialMichelle Poole RobertsOwner · (662) 281-8003
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1780715912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R549002 (MS)
7908 HWY 334, Toccopola, MS 38874

Other Names 1

Doing Business AsToccopola Family Medical Clinic

Other Identifiers 1

Medicaid09014299MS

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

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 25D0907036

Toccopola Family Medical Clinic Inc · Toccopola, MS
Active · expires Oct 5, 2027
CLIA Number25D0907036
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorMichelle P. Roberts
Laboratory Phone(601) 488-0270
Laboratory LocationToccopola Family Medical Clinic Inc7809 Hwy 334, Toccopola, MS 38874
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
7908 HWY 334
TOCCOPOLA, MS 38874
Nurse Practitioner (Family)
7908 HWY 334
TOCCOPOLA, MS 38874

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 Toccopola Family Medical Clinic, LLC's NPI number?

The NPI number for Toccopola Family Medical Clinic, LLC is 1780715912. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Toccopola Family Medical Clinic.

Where is Toccopola Family Medical Clinic, LLC located?

Toccopola Family Medical Clinic, LLC is located at 7908 Hwy 334, Toccopola, MS 38874. The listed phone number is (662) 281-8020.

What is Toccopola Family Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Toccopola Family Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0907036) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Toccopola 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 list Toccopola 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 Toccopola Family Medical Clinic, LLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.