FAMILY CARE MEDICAL CLINIC, LLC
FAMILY CARE MEDICAL CLINIC, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1437210457, based in Tupelo, MS. It is classified under Family Nurse Practitioner.
Getting there
The practice address on file is 109 PARK GATE EXT, Tupelo, MS 38801. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| R729086 | MS | Family Nurse Practitioner primary |
This provider holds licence R729086 issued in MS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Rural Health Clinic
- PAC ID
- 7012982853
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Mississippi | O20040826000627 | Part A Provider - Rural Health Clinic |
| Mississippi | O20041207000554 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part A Provider - Rural Health Clinic. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1437210457 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 13, 2006 |
| Last updated | Aug 22, 2020 |
| Status | Active |
| Practice address |
109 PARK GATE EXT Tupelo, MS 38801 (662) 840-4175 Fax (662) 840-8279 |
| Other identifiers |
00124764
· Medicaid (MS) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 3 | 7 | 2 | 1 | 0 | 4 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 6 | 7 | 4 | 1 | 0 | 4 | 1 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.