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LEA ANN BYRD
NPI 1871098350
Clinic/Center - Primary Care in Clarksdale, MS

Active since March 27, 2018CLIA 25D2147200 · Certificate of Compliance
705 N STATE ST, CLARKSDALE, MS 38614(662) 627-2973(662) 624-5595 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 17, 2018, Mar 27, 2018 (2 updates tracked since 2018).

About Lea Ann Byrd NPPES

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

LEA ANN BYRD (NPI 1871098350) is a healthcare organization registered as a primary care in Clarksdale, Mississippi and active in the NPI registry since March 2018. The organization holds a CLIA Certificate of Compliance certificate valid through January 7, 2027 and lists Lea Ann Byrd, Owner, as its authorized official.

NPPES Registry Identity

NPI1871098350
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBYRD FAMILY MEDICAL CLINIC
Location Address705 N STATE STClarksdale, MS 38614
Mailing Address764 Walnut Knoll LnCordova, TN 38018-3113 · (901) 620-6397 · Fax (901) 756-5564
Phone(662) 627-2973
Fax(662) 624-5595
Organization SubpartNo
Authorized OfficialLea Ann ByrdOwner · (662) 627-2973
Enumeration DateMarch 27, 2018
Last NPPES UpdateMay 17, 20182 updates tracked since enumeration
✔ NPI 1871098350 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 · R823849
705 N STATE ST, Clarksdale, MS 38614
Open in Google Maps ↗

Other Names 1

Doing Business AsLea Ann Byrd

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 Compliance 25D2147200

Byrd Family Medical Clinic · Clarksdale, MS
Active · expires Jan 7, 2027
CLIA Number25D2147200
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorWillie Knighten
Laboratory Phone(662) 627-2973
Laboratory LocationByrd Family Medical Clinic705 North State Street, Clarksdale, MS 38614
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

DR. KENNETH W KELLOUGH M.D.
Internal Medicine
705 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 621-2192
NORTH DELTA MEDICINE CLINIC P A
Internal Medicine
705 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 621-2192
DELTA CONCIERGE MEDICINE, INC.
Health Maintenance Organization
705 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 621-2192
KAYLEA BYRD MCCRAW
Nurse Practitioner (Family)
705 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-2973

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 Byrd Family Medical Clinic's NPI number?

The NPI number for Byrd Family Medical Clinic is 1871098350. It was assigned to this organization in the NPPES registry on March 27, 2018.

Where is Byrd Family Medical Clinic located?

Byrd Family Medical Clinic is located at 705 N State St, Clarksdale, MS 38614. The listed phone number is (662) 627-2973.

What is Byrd Family Medical Clinic's specialty?

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

Does Byrd Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2147200) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Byrd Family Medical Clinic 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 and 1 other insurer list Byrd Family Medical Clinic 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 Byrd Family Medical Clinic was last updated on May 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.