POTTS CAMP FAMILY MEDICAL CLINIC
NPI 1942519517
Nurse Practitioner - Family in Potts Camp, MS
About Potts Camp Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POTTS CAMP FAMILY MEDICAL CLINIC (NPI 1942519517) is a healthcare organization registered as a family in Potts Camp, Mississippi and active in the NPI registry since September 2010. The organization holds a CLIA Certificate of Compliance certificate valid through September 13, 2027 and lists Alice Stine, Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Compliance 25D2014439
Potts Camp Family Medical Clinic · Potts Camp, 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 Potts Camp Family Medical Clinic's NPI number?
The NPI number for Potts Camp Family Medical Clinic is 1942519517. It was assigned to this organization in the NPPES registry on September 30, 2010.
Where is Potts Camp Family Medical Clinic located?
Potts Camp Family Medical Clinic is located at 3 Reids Alley, Potts Camp, MS 38659. The listed phone number is (662) 333-4333.
What is Potts Camp Family Medical Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Potts Camp Family Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D2014439) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Potts Camp Family Medical Clinic 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 Potts Camp Family Medical Clinic 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 Potts Camp Family Medical Clinic was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Potts Camp Family Medical Clinic · NPI 1942519517
Family organization in Potts Camp, Mississippi. Organization record, active in the CMS NPPES registry since September 30, 2010.
## Identity
- **NPI:** 1942519517 (Entity type: Organization)
- **Enumerated:** September 30, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Alice Stine, BUSINESS MANAGER
## Practice location
- **Address:** 3 REIDS ALLEY, Potts Camp, MS 38659
- **Phone:** (662) 333-4333
## Record status
- **NPPES last updated:** September 30, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942519517) · Data from the CMS NPPES public registry.