TOCCOPOLA FAMILY MEDICAL CLINIC
NPI 1780715912
Clinic/Center - Rural Health in Toccopola, MS
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Toccopola Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Toccopola Family Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 25D0907036
Toccopola Family Medical Clinic Inc · Toccopola, MSFrequently 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.
Is Toccopola Family Medical Clinic, LLC enrolled in Medicare?
Yes. Toccopola Family Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Toccopola Family Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Toccopola Family Medical Clinic, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Toccopola Family Medical Clinic · NPI 1780715912
Rural Health organization in Toccopola, Mississippi. Organization record, active in the CMS NPPES registry since March 8, 2007.
## Identity
- **NPI:** 1780715912 (Entity type: Organization)
- **Enumerated:** March 8, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Toccopola Family Medical Clinic, Llc
- **Organization subpart:** No
- **Authorized official:** Michelle Roberts, OWNER
## Practice location
- **Address:** 7908 HWY 334, Toccopola, MS 38874-0389
- **Phone:** (662) 281-8020 · **Fax:** (662) 281-8020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 09014299 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780715912) · Data from the CMS NPPES public registry.