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SARDIS FAMILY MEDICAL CLINIC, INC.
NPI 1932399276
Nurse Practitioner - Family in Sardis, MS

Active since August 01, 2007CLIA 25D1066676 · Waiver
116 S MAIN ST, SARDIS, MS 38666(662) 487-1064(662) 487-1381 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2023, Jun 28, 2021 (2 updates tracked since 2021).

About Sardis Family Medical Clinic, Inc. NPPES

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

SARDIS FAMILY MEDICAL CLINIC, INC. (NPI 1932399276) is a healthcare organization registered as a family in Sardis, Mississippi and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Kimberly Farrow, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1932399276
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSARDIS FAMILY MEDICAL CLINIC, INC.
Location Address116 S MAIN STSardis, MS 38666-1721
Mailing Address116 S Main StSardis, MS 38666-1721 · (662) 487-1064 · Fax (662) 487-1381
Phone(662) 487-1064
Fax(662) 487-1381
Organization SubpartNo
Authorized OfficialKimberly FarrowAuthorized Official · (662) 487-1064
Enumeration DateAugust 1, 2007
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
✔ NPI 1932399276 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
116 S MAIN ST, Sardis, MS 38666
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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

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 25D1066676

Sardis Family Medical Clinic · Sardis, MS
Active · expires Mar 28, 2027
CLIA Number25D1066676
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorKim Farrow
Laboratory Phone(662) 487-1064
Laboratory LocationSardis Family Medical Clinic116 South Main St, Sardis, MS 38666
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.

DR. LANCE DEWEY WHALEY MD
Specialist
116 S MAIN ST
SARDIS, MS 38666
Panola County (662) 487-1605

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 Sardis Family Medical Clinic, Inc.'s NPI number?

The NPI number for Sardis Family Medical Clinic, Inc. is 1932399276. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Sardis Family Medical Clinic, Inc. located?

Sardis Family Medical Clinic, Inc. is located at 116 S Main St, Sardis, MS 38666. The listed phone number is (662) 487-1064.

What is Sardis Family Medical Clinic, Inc.'s specialty?

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

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

Yes. A Certificate of Waiver (number 25D1066676) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sardis Family Medical Clinic, 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 Sardis 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 Sardis Family Medical Clinic, Inc. was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.