QUALITY FAMILY MEDICAL CLINIC LLC
NPI 1912606062
Nurse Practitioner - Family in Greenville, MS
About Quality Family Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUALITY FAMILY MEDICAL CLINIC LLC (NPI 1912606062) is a healthcare organization registered as a family in Greenville, Mississippi and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Vanessa Arnette Haywood, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Quality Family Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Quality Family Medical Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Waiver 25D2290628
Quality Family Medical Clinic, LLC · Greenville, MSFrequently 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 Quality Family Medical Clinic LLC's NPI number?
The NPI number for Quality Family Medical Clinic LLC is 1912606062. It was assigned to this organization in the NPPES registry on February 27, 2023.
Where is Quality Family Medical Clinic LLC located?
Quality Family Medical Clinic LLC is located at 1440 Highway 1 S, Greenville, MS 38701. The listed phone number is (662) 721-6600.
What is Quality Family Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Quality Family Medical Clinic LLC enrolled in Medicare?
Yes. Quality Family Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Quality Family Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Quality Family Medical Clinic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Quality Family Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2290628) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Quality Family Medical Clinic LLC was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Quality Family Medical Clinic Llc · NPI 1912606062
Family organization in Greenville, Mississippi. Organization record, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1912606062 (Entity type: Organization)
- **Enumerated:** February 27, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Vanessa Haywood, NP
## Practice location
- **Address:** 1440 HIGHWAY 1 S, Greenville, MS 38701-7140
- **Phone:** (662) 721-6600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912606062) · Data from the CMS NPPES public registry.