NPIMap

Organization Active NPI

Access Family Health Services, Inc.

Doing business as ACCESS Family Health - Tupelo

  • Federally Qualified Health Center (FQHC)
  • Tupelo, MS
National Provider Identifier
1194991976
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ACCESS FAMILY HEALTH SERVICES, INC.
Doing business as
ACCESS Family Health - Tupelo
Practice address
499 Gloster Creek VLG
Suite D-1
Tupelo, MS 38801-4600
Phone
(662) 690-8007
Fax
(662) 842-4653
NPI assigned
May 1, 2008
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marilyn Sumerford
Title
Executive Director
Phone
(662) 651-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

499 Gloster Creek VLG
Suite D-1
Tupelo, MS 38801-4600

Mailing address

499 Gloster Creek VLG
Suite D-1
Tupelo, MS 38801-4600
Phone (662) 690-8007

Other identifiers 2

IdentifierTypeStateIssuer
05935316MedicaidMS
DB3359OtherMSRAILROAD MEDICARE PTAN

Other names 1

  • ACCESS Family Health - Tupelo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040216000862 MS Part B Supplier - Clinic/Group Practice 4082509492 Receives reassigned benefits from 29 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Nettleton, MS; Tupelo, MS; Tremont, MS; Smithville, MS; Pontotoc, MS; Okolona, MS; Ecru, MS; Hamilton, MS…
O20080620000338 MS Part A Provider - Federally Qualified Health Center (FQHC) 4082509492 Practice locations: Tupelo, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194991976. Details of each certification follow.

Federally qualified health center certification: CCN 251978

Legal name
ACCESS FAMILY HEALTH SERVICES, INC.
Doing business as
ACCESS FAMILY HEALTH TUPELO CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 18, 2008
Last certification
Nov 18, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 6, 1978 in MS
Enrollment address
499 Gloster Creek VLG
Ste D1
Tupelo, MS 38801-4753

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1084914Access Family Health Services-Tupelo Medical Clini499 Gloster Creek Village Suite D-1, Tupelo, MS 38801Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Access Family Health Ho21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert D Whitehead Individual Corporate Director Jun 9, 2008
Inita McMullan Individual Corporate Director Jul 1, 2013
William Brad Stevens Individual Corporate Director Jun 9, 2008
Shelia Cowley Individual W-2 Managing EmployeeData & Reporting Manager Jun 9, 2008
Holly Ford Individual Corporate Director Jul 1, 2018
Betty Atkinson Individual Corporate Director Jul 1, 2018
Robert Don Whitehead Individual Corporate Director Jun 9, 2008
Dana Ramey Individual Corporate OfficerFinance Officer/Director Oct 18, 2011
Corporate DirectorFinance Officer/Director Oct 18, 2011
W-2 Managing EmployeeFinance Officer/Director Oct 18, 2011
Brandon Presley Individual Corporate Director Jul 1, 2018
Marilyn Sumerford Individual Corporate OfficerExecutive Director Jun 9, 2008
Corporate DirectorExecutive Director Jun 9, 2008
W-2 Managing EmployeeExecutive Director Jun 9, 2008
Marlon Summerford Individual Corporate Director Jun 9, 2008
Martha Seales Individual Corporate Director Jun 9, 2008
Jerry Hall Individual Corporate Director Jun 9, 2008

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Access Family Health - Houlka ClinicHoulka, MS, CCN 251818 Federally qualified health center Operational/Managerial Control Sep 6, 1978
Access Family Health - Tremont ClinicTremont, MS, CCN 251820 Federally qualified health center Operational/Managerial Control Sep 6, 1978
Access Family Health - Smithville ClinicSmithville, MS, CCN 251821 Federally qualified health center Operational/Managerial Control Sep 6, 1978
Access Family Health - Nettleton ClinicNettleton, MS, CCN 251049 Federally qualified health center Operational/Managerial Control (100%) Sep 6, 1978
Access Family Health - Okolona HighOkolona, MS, CCN 251074 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - Okolona ElementaryOkolona, MS, CCN 251080 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - South PontotocPontotoc, MS, CCN 251076 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - North PontotocEcru, MS, CCN 251075 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - HamiltonHamilton, MS, CCN 251077 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - SmithvilleSmithville, MS, CCN 251079 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - HatleyAmory, MS, CCN 251078 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - Pontotoc MainPontotoc, MS, CCN 251091 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2019
Access School Health - TremontTremont, MS, CCN 251100 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2019
Access School Health - NettletonNettleton, MS, CCN 251108 Federally qualified health center Operational/Managerial Control (100%) Aug 3, 2020

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1194991976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG",
            "address_2": "SUITE D-1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-690-8007",
            "fax_number": "662-842-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG",
            "address_2": "SUITE D-1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-690-8007",
            "fax_number": "662-842-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS FAMILY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SUMERFORD",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-651-4686",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05935316",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DB3359",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS Family Health - Tupelo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.