COMMUNITY FAMILY HEALTHCARE, INC
NPI 1891907093
Nurse Practitioner - Family in Mantachie, MS

Active since May 03, 2007CLIA 25D1003229 · Certificate of Compliance
285 IVIE LANE, MANTACHIE, MS 38855(662) 282-4197 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Community Family Healthcare, Inc NPPES

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

COMMUNITY FAMILY HEALTHCARE, INC (NPI 1891907093) is a healthcare organization registered as a family in Mantachie, Mississippi and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 4, 2028 and lists Joy Loden, Owner, as its authorized official.

NPPES Registry Identity

NPI1891907093
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOMMUNITY FAMILY HEALTHCARE, INC
Location Address285 IVIE LANEMantachie, MS 38855
Mailing Address285 Ivie LaneMantachie, MS 38855
Organization SubpartNo
Authorized OfficialJoy LodenOwner · (662) 282-4197
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891907093 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
License✔ Licensed in MS · R857240
285 IVIE LANE, Mantachie, MS 38855

Other Identifiers 3

Medicaid02324272MS
Other1720180979MS · Npi Individual #
Medicaid09016148MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Community Family Healthcare, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20051012000340Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Community Family Healthcare, Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1720180979
285 IVIE LN
Mantachie, MS 38855
(662) 282-4197
✔ PECOSSame address
Nurse Practitioner
NPI 1013637529
285 IVIE LN
Mantachie, MS 38855
(662) 282-4197
✔ PECOSSame address
Nurse Practitioner
NPI 1659681328
285 IVIE LN
Mantachie, MS 38855
(662) 282-4197
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770824955
285 IVIE LN
Mantachie, MS 38855
(662) 282-4197
✔ PECOS✔ Accepts MedicareSame address

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 Compliance 25D1003229

Community Family Healthcare · Mantachie, MS
Active · expires May 4, 2028
CLIA Number25D1003229
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorDr. Michael G. Howell
Laboratory Phone(662) 282-4197
Laboratory LocationCommunity Family Healthcare285 Ivie Lane, Mantachie, MS 38855
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.

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 Community Family Healthcare, Inc's NPI number?

The NPI number for Community Family Healthcare, Inc is 1891907093. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Community Family Healthcare, Inc located?

Community Family Healthcare, Inc is located at 285 Ivie Lane, Mantachie, MS 38855. The listed phone number is (662) 282-4197.

What is Community Family Healthcare, Inc's specialty?

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

Is Community Family Healthcare, Inc enrolled in Medicare?

Yes. Community Family Healthcare, Inc is registered in the Medicare PECOS enrollment system.

When is Community Family Healthcare, Inc'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 November 30, 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 Community Family Healthcare, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Community Family Healthcare, Inc. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Family Healthcare, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D1003229) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Family Healthcare, Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Community Family Healthcare, 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 Community Family Healthcare, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.