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IMANI FAMILY MEDICAL CLINIC, LLC
NPI 1851757785
Clinic/Center - Primary Care in Jackson, MS

Active since January 07, 2016CLIA 25D2109616 · Waiver
4510 HANGING MOSS RD, JACKSON, MS 39206(769) 257-5713(769) 257-5715 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Imani Family Medical Clinic, Llc NPPES

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

IMANI FAMILY MEDICAL CLINIC, LLC (NPI 1851757785) is a healthcare organization registered as a primary care in Jackson, Mississippi and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Nkeba I Bell, Owner, as its authorized official.

NPPES Registry Identity

NPI1851757785
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIMANI FAMILY MEDICAL CLINIC, LLC
Location Address4510 HANGING MOSS RDJackson, MS 39206-3962
Mailing Address4510 Hanging Moss RdJackson, MS 39206-3962
Phone(769) 257-5713
Fax(769) 257-5715
Organization SubpartNo
Authorized OfficialNkeba I BellOwner · (601) 421-7242
Enumeration DateJanuary 7, 2016
Last NPPES UpdateOctober 27, 2016
✔ NPI 1851757785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · R803867
4510 HANGING MOSS RD, Jackson, MS 39206
Open in Google Maps ↗

Other Identifiers 2

Other501534Medicare Ptan
Medicaid00117713MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D2109616

Imani Family Medical Clinic, LLC · Jackson, MS
Active · expires Feb 28, 2028
CLIA Number25D2109616
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorNkeba I. Bell
Laboratory Phone(769) 257-5713
Laboratory LocationImani Family Medical Clinic, LLC4510 Hanging Moss Road, Jackson, MS 39206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MS. CLAUDIA ESTHER COX RN, WCC, CDFS
Health Educator
4510 HANGING MOSS RD
JACKSON, MS 39206
Hinds County (601) 720-2096
ANNYCE R. CAMPBELL M.D., PA.
Family Medicine
4510 HANGING MOSS RD
JACKSON, MS 39206
Hinds County (769) 257-5713
DR. BRIGETTA KAY TURNER D.D.S.
Dentist
4510 HANGING MOSS RD
JACKSON, MS 39206
Hinds County (601) 982-2124
DR. ANNYCE RAMONA CAMPBELL MD
Family Medicine
4510 HANGING MOSS RD
JACKSON, MS 39206
Hinds County (769) 257-5713
QUALITY HEALTH CARE SERVICES, PA
Clinic/Center (Primary Care)
4510 HANGING MOSS RD
JACKSON, MS 39206
Hinds County (769) 572-5280
NKEBA I BELL CFNP
Nurse Practitioner (Family)
4510 HANGING MOSS RD
JACKSON, MS 39206
Hinds County (769) 257-5713
BRIGETTA K. TURNER, D.D.S., PLLC
Dentist
4510 HANGING MOSS RD
JACKSON, MS 39206
Hinds County (601) 982-2124

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 Imani Family Medical Clinic, LLC's NPI number?

The NPI number for Imani Family Medical Clinic, LLC is 1851757785. It was assigned to this organization in the NPPES registry on January 7, 2016.

Where is Imani Family Medical Clinic, LLC located?

Imani Family Medical Clinic, LLC is located at 4510 Hanging Moss Rd, Jackson, MS 39206. The listed phone number is (769) 257-5713.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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

Yes. A Certificate of Waiver (number 25D2109616) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Imani 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 Imani 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 Imani Family Medical Clinic, LLC was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.