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SOUTHERN FAMILY MEDICINE
NPI 1982608691
Clinic/Center - Medical Specialty in Collins, MS

Active since June 09, 2005CLIA 25D1026870 · Microscopy
603 S HOLLY AVE, COLLINS, MS 39428(601) 765-9393(601) 765-9363 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Family Medicine NPPES

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

SOUTHERN FAMILY MEDICINE (NPI 1982608691) is a healthcare organization registered as a medical specialty in Collins, Mississippi and active in the NPI registry since June 2005. The organization holds a CLIA Microscopy certificate valid through June 16, 2028 and lists Jason Gregory Beasley, Owner, as its authorized official.

NPPES Registry Identity

NPI1982608691
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSOUTHERN FAMILY MEDICINE
Location Address603 S HOLLY AVECollins, MS 39428-3801
Mailing Address606 Gerald Mcraney StCollins, MS 39428-3801 · (601) 765-9393 · Fax (601) 765-9363
Phone(601) 765-9393
Fax(601) 765-9363
Organization SubpartNo
Authorized OfficialJason Gregory BeasleyOwner · (601) 765-9393
Enumeration DateJune 9, 2005
Last NPPES UpdateJanuary 22, 2019
✔ NPI 1982608691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
603 S HOLLY AVE, Collins, MS 39428
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Other Identifiers 2

Medicaid01588261MS
Other25D1026870Clia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 for Provider-Performed Microscopy Procedures (PPMP) 25D1026870

Southern Family Medicine Inc · Collins, MS
Active · expires Jun 16, 2028
CLIA Number25D1026870
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorDr. Jason Beasley
Laboratory Phone(601) 765-9393
Laboratory LocationSouthern Family Medicine Inc606 Gerald Mcraney St, Collins, MS 39428
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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. JASON GREGORY BEASLEY M.D.
Family Medicine
603 S HOLLY AVE
COLLINS, MS 39428
Covington County (601) 765-9393

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 Southern Family Medicine's NPI number?

The NPI number for Southern Family Medicine is 1982608691. It was assigned to this organization in the NPPES registry on June 9, 2005.

Where is Southern Family Medicine located?

Southern Family Medicine is located at 603 S Holly Ave, Collins, MS 39428. The listed phone number is (601) 765-9393.

What is Southern Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Southern Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D1026870) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Family Medicine accept?

Health plans from Molina Healthcare list Southern Family Medicine 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 Southern Family Medicine was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.