Sumrall Family Health Center - Medicare Primary Care in Sumrall, MS

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Sumrall Family Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Sumrall, Mississippi. The current practice location for Sumrall Family Health Center is 1016 Highway 42, Sumrall, Mississippi. For appointments, you can reach them via phone at (601) 758-4214. The mailing address for Sumrall Family Health Center is Po Box 1729, Hattiesburg, Mississippi and phone number is (601) 545-3700.

Sumrall Family Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1184694036. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 758-4214.

Contact Information

Sumrall Family Health Center
1016 Highway 42
Sumrall
MS 39482-9634
(601) 758-4214
(601) 758-0614

Map and Direction


Primary Care Clinic Profile

Full NameSumrall Family Health Center
SpecialityClinic/Center
Location1016 Highway 42, Sumrall, Mississippi
Authorized Official Name and PositionGeroldean Dyse (EXECUTIVE DIRECTOR)
Authorized Official Contact6015458700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sumrall Family Health Center
Po Box 1729
Hattiesburg
MS 39403-1729

Ph: (601) 545-3700		Sumrall Family Health Center
1016 Highway 42
Sumrall
MS 39482-9634

Ph: (601) 758-4214

NPI Details:

NPI Number1184694036
Provider Enumeration Date01/24/2006
Last Update Date04/15/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2466342605
Medicare Enrollment IDO20040319000300

Medical Identifiers

Medical identifiers for Sumrall Family Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184694036NPI-NPPES
09013879MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sumrall Family Health Center acts as a billing entity for following providers:
Provider NameBenjamin Weber
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669446001
PECOS PAC ID: 2365434222
Enrollment ID: I20040331001122
Provider NameKeith A Kersten
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861445108
PECOS PAC ID: 7719960848
Enrollment ID: I20040610000501
Provider NameBrandon L Coleman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881685782
PECOS PAC ID: 5597743922
Enrollment ID: I20040712000543
Provider NameLisa D Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487631461
PECOS PAC ID: 5991777195
Enrollment ID: I20040809000911
Provider NameLaura C Singley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023064276
PECOS PAC ID: 5597781146
Enrollment ID: I20051021000879
Provider NameQuenyatta Echols-williams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255392841
PECOS PAC ID: 8628085495
Enrollment ID: I20060320000536
Provider NamePatricia A Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902926488
PECOS PAC ID: 7719079110
Enrollment ID: I20070919000474
Provider NameAnn A Williams
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669524278
PECOS PAC ID: 2062317944
Enrollment ID: I20080211000001
Provider NameJames W Griffin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720274327
PECOS PAC ID: 8224114327
Enrollment ID: I20080331000203
Provider NameRonda C Eason-hinton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952570723
PECOS PAC ID: 0446329593
Enrollment ID: I20080515000640
Provider NameSusan E Gentry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952575193
PECOS PAC ID: 2961573639
Enrollment ID: I20080624000510
Provider NameGinger N Pace-herndon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649480971
PECOS PAC ID: 1951460062
Enrollment ID: I20081104000718
Provider NameChristy Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750399531
PECOS PAC ID: 8921141318
Enrollment ID: I20100208000294
Provider NameCatherine M Thomas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093796500
PECOS PAC ID: 9335272335
Enrollment ID: I20100728000072
Provider NameKisha Lashay Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023319936
PECOS PAC ID: 1456549740
Enrollment ID: I20110103000006
Provider NameJennifer Rebecca Roberts
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528223005
PECOS PAC ID: 2860665502
Enrollment ID: I20111025000744
Provider NameTracy Leigh Ladner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003239294
PECOS PAC ID: 1951532225
Enrollment ID: I20140331000478
Provider NameRuthie B Zinn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598001562
PECOS PAC ID: 9537391354
Enrollment ID: I20140410000191
Provider NameJoshua Peter Hand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689664039
PECOS PAC ID: 8921046863
Enrollment ID: I20140501001567
Provider NameStephanie P Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497150056
PECOS PAC ID: 9830412196
Enrollment ID: I20141218000795
Provider NameKaren Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386930477
PECOS PAC ID: 9931423431
Enrollment ID: I20150109000963
Provider NameTrish Brix Baskin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316206519
PECOS PAC ID: 9234442609
Enrollment ID: I20150715000485
Provider NameRobin Murphree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164898474
PECOS PAC ID: 7113227539
Enrollment ID: I20151207002740
Provider NameStephanie Rachelle Lumpkin-freeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407301237
PECOS PAC ID: 9638466824
Enrollment ID: I20161003002465
Provider NameAspen J Hardges
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649715004
PECOS PAC ID: 4880976638
Enrollment ID: I20170131001758
Provider NameVeronica Tassin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144626946
PECOS PAC ID: 7113201799
Enrollment ID: I20170906001592
Provider NameRasheeda C Hall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114280591
PECOS PAC ID: 0345483004
Enrollment ID: I20171005001983
Provider NameMartia Moffett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386154243
PECOS PAC ID: 3476829466
Enrollment ID: I20171018002754
Provider NameAmanda Landrum-mccallum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366943425
PECOS PAC ID: 6800159443
Enrollment ID: I20180413001128
Provider NameLauren O'neal Garner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881199818
PECOS PAC ID: 9638433501
Enrollment ID: I20180430001758
Provider NameJennifer Miranda Summers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225514391
PECOS PAC ID: 2769730555
Enrollment ID: I20180810001266
Provider NameCharlene Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235599515
PECOS PAC ID: 3274828330
Enrollment ID: I20180829000792
Provider NameApril Rose Hinton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780160523
PECOS PAC ID: 7517210990
Enrollment ID: I20181101001312
Provider NameKimberly Michelle Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891260808
PECOS PAC ID: 8820342256
Enrollment ID: I20181121000158
Provider NameWilliam Michael Bird
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316431166
PECOS PAC ID: 4082959432
Enrollment ID: I20181213001070
Provider NameCharles F Diamond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659844496
PECOS PAC ID: 8820337330
Enrollment ID: I20190228000115
Provider NameJohn Michael Woods
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1821093691
PECOS PAC ID: 8123175171
Enrollment ID: I20190424001219
Provider NameThompson Worth Liddell
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1851703201
PECOS PAC ID: 1456685833
Enrollment ID: I20190619002545
Provider NameJason Moss
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1235558149
PECOS PAC ID: 2567735939
Enrollment ID: I20190809002220
Provider NameMitchell Singley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922664523
PECOS PAC ID: 6608108709
Enrollment ID: I20191022002815
Provider NameSamantha C Givens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497356562
PECOS PAC ID: 8820401888
Enrollment ID: I20210112000722
Provider NameNatalia A Stevenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053486852
PECOS PAC ID: 2466601091
Enrollment ID: I20210716001832
Provider NameMae Lynn Ramsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790379964
PECOS PAC ID: 1153724687
Enrollment ID: I20210721003614
Provider NameMichelle E Howard
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013149384
PECOS PAC ID: 6800285404
Enrollment ID: I20211122000995
Provider NameJennifer Goodwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083246474
PECOS PAC ID: 1355733924
Enrollment ID: I20220112001446
Provider NameErica "courtney" Moss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548492945
PECOS PAC ID: 2860615473
Enrollment ID: I20220705000379
Provider NameSenate Oluwakemi Amusu
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1700309432
PECOS PAC ID: 8628494408
Enrollment ID: I20221108000504
Provider NameAretha M. Northington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811511819
PECOS PAC ID: 5890167027
Enrollment ID: I20230215002613
Provider NameJohanna M Alvarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588219083
PECOS PAC ID: 1153781463
Enrollment ID: I20230718004321

Reviews and Comments


Clinic/Center in Sumrall, MS

Sumrall Elementary School
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 198 Todd Rd, Sumrall, MS 39482
Phone: 601-758-4289    Fax: 601-796-9437
Sumrall High School
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 184 Center Ave, Sumrall, MS 39482
Phone: 601-758-4730    Fax: 601-796-9437
South Mississippi Emergency Physicians,pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4891 Highway 589, Sumrall, MS 39482
Phone: 601-758-4606    Fax: 601-758-4615
Covington Health Sumrall
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1039 Highway 42 Ste C, Sumrall, MS 39482
Phone: 601-765-6711    Fax: 601-698-0112
Hattiesburg Clinic Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1238 Highway 42, Sumrall, MS 39482
Phone: 601-758-3100    Fax: 601-758-3060
Sumrall Middle School
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1217 Highway 42, Sumrall, MS 39482
Phone: 601-758-4416    Fax: 601-796-9437

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.