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FAMILY MED 101, INC
NPI 1902997059
Clinic/Center - Primary Care in Booneville, MS

Active since September 27, 2006CLIA 25D1059531 · Waiver
101 MIMOSA ST, BOONEVILLE, MS 38829(662) 720-4919(662) 720-4980 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Med 101, Inc NPPES

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

FAMILY MED 101, INC (NPI 1902997059) is a healthcare organization registered as a primary care in Booneville, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Felesha D Perrigo, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1902997059
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILY MED 101, INC
Location Address101 MIMOSA STBooneville, MS 38829-2911
Mailing AddressPo Box 60Booneville, MS 38829-0060 · (662) 720-4919 · Fax (662) 720-4980
Phone(662) 720-4919
Fax(662) 720-4980
Organization SubpartNo
Authorized OfficialFelesha D PerrigoOwner/nurse Practitioner · (662) 720-4919
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 9, 2017
✔ NPI 1902997059 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 · R763457
101 MIMOSA ST, Booneville, MS 38829
Open in Google Maps ↗

Other Identifiers 2

Medicare PINC03615MS
Medicare OSCAR/certification258994MS

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 25D1059531

Family Med 101 · Booneville, MS
Active · expires May 12, 2027
CLIA Number25D1059531
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorNathan Baldwin
Laboratory Phone(662) 720-4919
Laboratory LocationFamily Med 101101 Mimosa Street, Booneville, MS 38829
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

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

MRS. FELESHA DALE PERRIGO FNP
Nurse Practitioner (Family)
101 MIMOSA ST
BOONEVILLE, MS 38829
Prentiss County (662) 720-4919

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 Family Med 101, Inc's NPI number?

The NPI number for Family Med 101, Inc is 1902997059. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Family Med 101, Inc located?

Family Med 101, Inc is located at 101 Mimosa St, Booneville, MS 38829. The listed phone number is (662) 720-4919.

What is Family Med 101, Inc's specialty?

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

Does Family Med 101, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1059531) is associated with this NPI, valid through May 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Med 101, Inc 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 Family Med 101, 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 Family Med 101, Inc was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.