Access Family Health Services, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Pontotoc, MS
NPI 1366004657 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1366004657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ACCESS FAMILY HEALTH SERVICES, INC.
- Practice address
- 135 E Oxford St
Pontotoc, MS 38863-2111 - Phone
- (662) 489-3336
- NPI assigned
- Jul 8, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Marilyn Sumerford
- Title
- Executive Director
- Phone
- (662) 651-4686
Owners & managing parties with NPI records 15
Owned or controlled facilities with NPI records 13
Other NPIs on the same Medicare enrollment 15
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 20
Facilities with the same owner 13
Practitioners 23
-
Mari Caitlyne Blaylock, FNP-C
-
Teresa Nicole Brown, LCSW
-
Whitney Johnson Carroll, FNP-BC
-
Hallie Brianna Carter, PMHNP
-
Meagan Crowell, PMHNP
-
Katherine Elizabeth Davis, FNP-C
-
Angela Floyd, LCSW, CHT
-
Sanjuana Nicole Gonzalez, FNP-C
-
Megan Celeste Hardin, FNP-C
-
Kevin Koehler, M.D.
-
James Mark Monroe, D.O.
-
Britny Bramlett Owens, NP-C
-
Alisha Marie Parham, FNP-C
-
Alix Goodwin Pearson, FNP
-
Carissa Irene Searcy, A.P.R.N., B.C.
-
David Benson Sumerford, FNP-BC, PMHNP
-
Sara Vance, MS, RD, LD, CHES
-
Neil R. Wanee, MD
-
Carleigh Ballard-Sayonh, MSN, BSN, RN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2169925 | Access School Health - Pontotoc Main | Certificate of waiver | Jul 29, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS
Federally qualified health center certification: CCN 251091
- Legal name
- ACCESS FAMILY HEALTH SERVICES, INC.
- Doing business as
- ACCESS SCHOOL HEALTH - PONTOTOC MAIN
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 9, 2019
- Last certification
- Sep 9, 2019
- Ownership / control type
- For profit – individual
- Organization structure
- Other · Non-profit
- Incorporated
- Sep 6, 1978 in MS
- Enrollment address
- 135 E Oxford St
Pontotoc, MS 38863-2111
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Access Family Health Services, Inc. |
Operational/Managerial Control | Aug 1, 2019 | 100% |
| Dana Ramey |
Corporate Director |
Oct 18, 2011 | |
| W-2 Managing Employee |
Oct 18, 2011 | ||
| Operational/Managerial Control |
Oct 18, 2011 | ||
| Marilyn Sumerford |
Corporate Director |
Feb 20, 1995 | |
| W-2 Managing Employee |
Feb 20, 1995 | ||
| Operational/Managerial Control |
Feb 20, 1995 |
All facility ownership & control disclosures 13
| Facility | Type | Role | Since |
|---|---|---|---|
| Access Family Health - Houlka Clinic |
Federally qualified health center | Operational/Managerial Control | Sep 6, 1978 |
| Access Family Health - Tremont Clinic |
Federally qualified health center | Operational/Managerial Control | Sep 6, 1978 |
| Access Family Health - Smithville Clinic |
Federally qualified health center | Operational/Managerial Control | Sep 6, 1978 |
| Access Family Health - Nettleton Clinic |
Federally qualified health center | Operational/Managerial Control (100%) | Sep 6, 1978 |
| Access Family Health - Okolona High |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2018 |
| Access School Health - Okolona Elementary |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2018 |
| Access School Health - South Pontotoc |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2018 |
| Access School Health - North Pontotoc |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2018 |
| Access School Health - Hamilton |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2018 |
| Access School Health - Smithville |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2018 |
| Access School Health - Hatley |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2018 |
| Access School Health - Tremont |
Federally qualified health center | Operational/Managerial Control (100%) | Dec 1, 2019 |
| Access School Health - Nettleton |
Federally qualified health center | Operational/Managerial Control (100%) | Aug 3, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20190909001767 | MS | Part a Provider - Federally Qualified Health Center (FQHC) | 4082509492 | Practice locations: Pontotoc, MS |
National Provider Directory
- Tax ID family
- Access Fam HLTH SVC Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
135 E Oxford St
Pontotoc, MS 38863-2111
Mailing address
PO Box 305
Smithville, MS 38870-0305
Phone (662) 651-4637
Other names
- Access School Health - Pontotoc Main
Other providers in Pontotoc, MS
- 180 Interventions LLC
- A Tree of Life Counseling, PLLC
- Access Family Health Services, Inc.
- Acute Care & Family Clinic of Pontotoc
- John C Adams
- Alliance Rehabilitation, Inc
- William David Anderson
All providers in Pontotoc, MS · Federally Qualified Health Center (FQHC) in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.