Sardis Family Medical Clinic, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SARDIS FAMILY MEDICAL CLINIC, INC.

Practice address

116 S Main St
Sardis, MS 38666-1721

Phone

(662) 487-1064

Fax

(662) 487-1381

NPI assigned

Aug 1, 2007

Last updated

Jun 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Farrow

Title

Authorized Official

Phone

(662) 487-1064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Blake Andrew Embrey

  • Nurse Practitioner
  • Coldwater, MS
  • NPI 1770007452
  Medicare reassignment NPD

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1932399276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "386661721",
            "telephone_number": "662-487-1064",
            "fax_number": "662-487-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "386661721",
            "telephone_number": "662-487-1064",
            "fax_number": "662-487-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARDIS FAMILY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "662-487-1064",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Investment Group, Inc (Mettesave Disc. Drugs)
• Renal Care Group Tupelo, LLC (RCG Sardis)
• Sardis Community Nursing Home LLC (Sardis Community Nursing Home)
• Sardis Family Dental Care, LLC
• Sardis Family Medical Clinic, Inc
• Sawyer Scott Eyecare Center PLLC
• Sawyer Scott LLC Dba the Eyecare Center
• Kate Hall Schove
• Sallye S. Scott, OD
• SFMC Laboratory

• Family Nurse Practitioner in Sardis, MS
• Providers in Sardis, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.