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AUBURN FAMILY MEDICAL CLINIC, INC
NPI 1871687749
Nurse Practitioner - Family in Tupelo, MS

Active since October 03, 2006CLIA 25D0969132 · Waiver
149 N EASON BLVD, TUPELO, MS 38804(662) 678-1050(662) 678-1067 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Auburn Family Medical Clinic, Inc NPPES

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

AUBURN FAMILY MEDICAL CLINIC, INC (NPI 1871687749) is a healthcare organization registered as a family in Tupelo, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 25, 2027 and lists Rhonda Leigh Cox, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871687749
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAUBURN FAMILY MEDICAL CLINIC, INC
Location Address149 N EASON BLVDTupelo, MS 38804
Mailing AddressPo Box 726Tupelo, MS 38802 · (662) 678-1050 · Fax (662) 678-1067
Phone(662) 678-1050
Fax(662) 678-1067
Organization SubpartNo
Authorized OfficialRhonda Leigh CoxOffice Manager · (662) 678-1050
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 21, 2015
✔ NPI 1871687749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · R697621✔ Licensed in MS · R853933
149 N EASON BLVD, Tupelo, MS 38804
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Other Identifiers 2

Medicaid09015207MS
Medicare PINC03125MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 25D0969132

Auburn Family Medical Clinic · Tupelo, MS
Active · expires Dec 25, 2027
CLIA Number25D0969132
Laboratory TypePractitioner Other
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorAngel Harbin
Laboratory Phone(662) 678-1050
Laboratory LocationAuburn Family Medical Clinic149 North Eason Blvd, Tupelo, MS 38804
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 2

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

MS. AMY M FORREST CFNP
Nurse Practitioner
149 N EASON BLVD
TUPELO, MS 38804
Lee County (662) 678-1050
MS. ANGEL S, HARBIN CFNP
Nurse Practitioner
149 N EASON BLVD
TUPELO, MS 38804
Lee County (662) 678-1050

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 Auburn Family Medical Clinic, Inc's NPI number?

The NPI number for Auburn Family Medical Clinic, Inc is 1871687749. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Auburn Family Medical Clinic, Inc located?

Auburn Family Medical Clinic, Inc is located at 149 N Eason Blvd, Tupelo, MS 38804. The listed phone number is (662) 678-1050.

What is Auburn Family Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Auburn Family Medical Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0969132) is associated with this NPI, valid through December 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Auburn Family Medical Clinic, Inc accept?

Health plans from Molina Healthcare list Auburn Family Medical Clinic, Inc 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 Auburn Family Medical Clinic, Inc was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.