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SENATOBIA FAMILY PRACTICE, P.C.
NPI 1932409323
Specialist in Senatobia, MS

Active since November 01, 2010CLIA 25D0965181 · Waiver
104 N ROBINSON ST, SENATOBIA, MS 38668(662) 562-0411(662) 560-0161 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Senatobia Family Practice, P.c. NPPES

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

SENATOBIA FAMILY PRACTICE, P.C. (NPI 1932409323) is a healthcare organization registered as a specialist in Senatobia, Mississippi and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Forster Gehring Ruhl, President, as its authorized official.

NPPES Registry Identity

NPI1932409323
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSENATOBIA FAMILY PRACTICE, P.C.
Location Address104 N ROBINSON STSenatobia, MS 38668-2149
Mailing Address104 N Robinson StSenatobia, MS 38668-2149 · (662) 562-0411 · Fax (662) 560-0161
Phone(662) 562-0411
Fax(662) 560-0161
Organization SubpartNo
Authorized OfficialForster Gehring RuhlPresident · (662) 562-0411
Enumeration DateNovember 1, 2010
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1932409323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 12463
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
104 N ROBINSON ST, Senatobia, MS 38668
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Senatobia Family Practice, P.c. 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 Senatobia Family Practice, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Forster Ruhl, MD
Family Practice
NPI 1972606358
104 N ROBINSON ST SENATOBIA FAMILY PRACTICE
Senatobia, MS 38668
(662) 562-0411
✔ PECOSSame 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 Waiver 25D0965181

Senatobia Family Practice PC · Senatobia, MS
Active · expires Sep 13, 2027
CLIA Number25D0965181
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorForster G. Ruhl
Laboratory Phone(662) 562-0411
Laboratory LocationSenatobia Family Practice PC104 North Robinson Street, Senatobia, MS 38668
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Senatobia Family Practice, P.C.'s NPI number?

The NPI number for Senatobia Family Practice, P.C. is 1932409323. It was assigned to this organization in the NPPES registry on November 1, 2010.

Where is Senatobia Family Practice, P.C. located?

Senatobia Family Practice, P.C. is located at 104 N Robinson St, Senatobia, MS 38668. The listed phone number is (662) 562-0411.

What is Senatobia Family Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Senatobia Family Practice, P.C. enrolled in Medicare?

Yes. Senatobia Family Practice, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Senatobia Family Practice, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Senatobia Family Practice, P.C.. 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 Senatobia Family Practice, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0965181) is associated with this NPI, valid through September 13, 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 Senatobia Family Practice, P.C. was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.