MARIETTA FAMILY CLINIC, INC.
NPI 1922032812
Nurse Practitioner - Family in Marietta, MS
About Marietta Family Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIETTA FAMILY CLINIC, INC. (NPI 1922032812) is a healthcare organization registered as a family in Marietta, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Lori Harris, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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 25D1054130
Marietta Family Clinic Inc · Marietta, MSOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marietta Family Clinic, Inc.'s NPI number?
The NPI number for Marietta Family Clinic, Inc. is 1922032812. It was assigned to this organization in the NPPES registry on July 10, 2006.
Where is Marietta Family Clinic, Inc. located?
Marietta Family Clinic, Inc. is located at 3 Cr 4050, Marietta, MS 38856. The listed phone number is (662) 728-2408.
What is Marietta Family Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Marietta Family Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1054130) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Marietta Family Clinic, Inc. accept?
Health plans from Molina Healthcare list Marietta Family 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 Marietta Family Clinic, Inc. was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Marietta Family Clinic, Inc. · NPI 1922032812
Family organization in Marietta, Mississippi. Organization record, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1922032812 (Entity type: Organization)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Lori Harris, OWNER
## Practice location
- **Address:** 3 CR 4050, Marietta, MS 38856
- **Phone:** (662) 728-2408 · **Fax:** (662) 728-2409
## Record status
- **NPPES last updated:** July 28, 2025
- **Other identifiers:** Medicaid 03282808 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922032812) · Data from the CMS NPPES public registry.