MCFATTER FAMILY MEDICAL, LLC
NPI 1811660293
Clinic/Center - Urgent Care in Ridgeland, MS
About Mcfatter Family Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCFATTER FAMILY MEDICAL, LLC (NPI 1811660293) is a healthcare organization registered as an urgent care in Ridgeland, Mississippi and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through November 22, 2027 and lists Daniel Hurley Mcfatter, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Mcfatter Family Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 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.
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Mcfatter Family Medical, LLC, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
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 25D2243848
Mcfatter Family Medical Dba AFC Ridgeland · Ridgeland, 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 Mcfatter Family Medical, LLC's NPI number?
The NPI number for Mcfatter Family Medical, LLC is 1811660293. It was assigned to this organization in the NPPES registry on July 30, 2021.
Where is Mcfatter Family Medical, LLC located?
Mcfatter Family Medical, LLC is located at 710 Highland Colony Pkwy Ste A, Ridgeland, MS 39157. The listed phone number is (601) 398-9886.
What is Mcfatter Family Medical, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Mcfatter Family Medical, LLC enrolled in Medicare?
Yes. Mcfatter Family Medical, LLC is registered in the Medicare PECOS enrollment system.
When is Mcfatter Family Medical, LLC'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 October 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 Mcfatter Family Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Mcfatter Family Medical, 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. The largest specialties are Nurse Practitioner (12), Pediatric Medicine (2) and Family Practice (1). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mcfatter Family Medical, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2243848) is associated with this NPI, valid through November 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mcfatter Family Medical, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Mcfatter Family Medical, 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 Mcfatter Family Medical, LLC was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mcfatter Family Medical, Llc · NPI 1811660293
Urgent Care organization in Ridgeland, Mississippi. Organization record, active in the CMS NPPES registry since July 30, 2021.
## Identity
- **NPI:** 1811660293 (Entity type: Organization)
- **Enumerated:** July 30, 2021
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Daniel Mcfatter, OWNER
## Practice location
- **Address:** 710 HIGHLAND COLONY PKWY STE A, Ridgeland, MS 39157-8701
- **Phone:** (601) 398-9886 · **Fax:** (601) 398-9885
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 15 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Pediatric Medicine (2), Family Practice (1); 10 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1811660293) · Data from the CMS NPPES public registry.