Access Family Health Services, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Pontotoc, MS
NPI 1386136752 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1386136752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ACCESS FAMILY HEALTH SERVICES, INC.
- Practice address
- 1523 S Pontotoc Rd
Pontotoc, MS 38863-9382 - Phone
- (662) 489-5941
- Fax
- (662) 489-1757
- NPI assigned
- Jun 1, 2018
- Organization subpart
- No
Authorized official
- Name
- Marilyn Sumerford
- Title
- Executive Director
- Phone
- (662) 651-4637
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 24
-
Katherine Elizabeth Davis, FNP-C
-
Megan Celeste Hardin, FNP-C
-
Mari Caitlyne Blaylock, FNP-C
-
Teresa Nicole Brown, LCSW
-
Whitney Johnson Carroll, FNP-BC
-
Hallie Brianna Carter, PMHNP
-
Meagan Crowell, PMHNP
-
Angela Floyd, LCSW, CHT
-
Sanjuana Nicole Gonzalez, 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
-
Ericka Nycole Taylor, LCSW
-
Jamesha Tumblin, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2150116 | Access School Health - South Pontotoc | Certificate of waiver | Jun 17, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS
Federally qualified health center certification: CCN 251076
- Legal name
- ACCESS FAMILY HEALTH SERVICES, INC.
- Doing business as
- ACCESS SCHOOL HEALTH - SOUTH PONTOTOC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 16, 2018
- Last certification
- Jul 16, 2018
- Ownership / control type
- For profit – partnership
- Organization structure
- Other · Non-profit
- Incorporated
- Sep 6, 1978 in MS
- Enrollment address
- 1523 S Pontotoc Rd
Pontotoc, MS 38863-9382
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Albert Rayford |
Corporate Director |
Jan 24, 2022 | |
| Inita McMullan |
Corporate Director |
May 24, 2010 | |
| Sandra Evans |
Corporate Director |
Jul 22, 2019 | |
| Dawn Rogers |
Corporate Director |
Jul 26, 2021 | |
| William Brad Stevens |
Corporate Director |
Feb 24, 1997 | |
| Howard Hill |
Corporate Director |
Jul 22, 2019 | |
| Access Family Health Services, Inc. |
Operational/Managerial Control | Jun 1, 2018 | 100% |
| Jeannie F Ball |
Corporate Director |
Jul 22, 2019 | |
| Dana Ramey |
Corporate Director |
Oct 18, 2011 | |
| W-2 Managing Employee |
Oct 18, 2011 | ||
| Operational/Managerial Control |
Oct 18, 2011 | ||
| Brandon Presley |
Corporate Director |
Jun 26, 2017 | |
| Ray Counce |
Corporate Director |
Jul 22, 2019 | |
| Marilyn Sumerford |
Corporate Director |
Feb 20, 1995 | |
| W-2 Managing Employee |
Feb 20, 1995 | ||
| Operational/Managerial Control |
Feb 20, 1995 | ||
| Marlon Summerford |
Corporate Director |
Jan 27, 1992 | |
| Martha Seales |
Corporate Director |
Jul 22, 1996 | |
| Autumn Bankhead |
Corporate Director |
Aug 24, 2020 | |
| Jerry Hall |
Corporate Director |
Apr 25, 2005 | |
| Corky Alan Barnett |
Corporate Director |
Jul 22, 2019 |
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 - 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 - Pontotoc Main |
Federally qualified health center | Operational/Managerial Control (100%) | Aug 1, 2019 |
| 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… |
| O20180716001358 | 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
1523 S Pontotoc Rd
Pontotoc, MS 38863-9382
Mailing address
PO Box 305
Smithville, MS 38870-0305
Phone (662) 651-4637
Other names
- Access School Health - South Pontotoc
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
- Arcare
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.