Family Medical Clinic Of Crystal Springs Pllc - Medicare Primary Care in Crystal Springs, MS

  1. Home
  2. Primary Care Clinics
  3. MS
  4. Crystal Springs
Family Medical Clinic Of Crystal Springs Pllc is a medicare enrolled primary clinic (Family Medicine) in Crystal Springs, Mississippi. The current practice location for Family Medical Clinic Of Crystal Springs Pllc is 104 W Railroad Ave S, Crystal Springs, Mississippi. For appointments, you can reach them via phone at (601) 892-3063. The mailing address for Family Medical Clinic Of Crystal Springs Pllc is 104 W Railroad Ave S, Crystal Springs, Mississippi and phone number is (601) 892-3063.

Family Medical Clinic Of Crystal Springs Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205915998. 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) 892-3063.

Contact Information

Family Medical Clinic Of Crystal Springs Pllc
104 W Railroad Ave S
Crystal Springs
MS 39059-2111
(601) 892-3063
(601) 892-3570

Map and Direction


Primary Care Clinic Profile

Full NameFamily Medical Clinic Of Crystal Springs Pllc
SpecialityFamily Medicine
Location104 W Railroad Ave S, Crystal Springs, Mississippi
Authorized Official Name and PositionJames W Ervin (PRESIDENT)
Authorized Official Contact6018923063
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Medical Clinic Of Crystal Springs Pllc
104 W Railroad Ave S
Crystal Springs
MS 39059-2111

Ph: (601) 892-3063		Family Medical Clinic Of Crystal Springs Pllc
104 W Railroad Ave S
Crystal Springs
MS 39059-2111

Ph: (601) 892-3063

NPI Details:

NPI Number1205915998
Provider Enumeration Date11/03/2006
Last Update Date09/30/2011

Medicare PECOS Information:

Medicare PECOS PAC ID6002894706
Medicare Enrollment IDO20040709000565

Medical Identifiers

Medical identifiers for Family Medical Clinic Of Crystal Springs Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205915998NPI-NPPES
06726832MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Family Medical Clinic Of Crystal Springs Pllc acts as a billing entity for following providers:
Provider NameJames W Ervin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619903580
PECOS PAC ID: 9638157332
Enrollment ID: I20040712001528
Provider NameJennifer Sojourner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679881312
PECOS PAC ID: 9436338134
Enrollment ID: I20110127000371
Provider NameJenna L Gaddy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114470143
PECOS PAC ID: 0840576039
Enrollment ID: I20170425001328
Provider NameMary Kamryn Brewer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255943932
PECOS PAC ID: 4284041039
Enrollment ID: I20210324000630

Reviews and Comments


Family Medicine in Crystal Springs, MS

Robert A. Gannaway, M.d., Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 408 E Railroad Ave, Suite B, Crystal Springs, MS 39059
Phone: 601-892-7860    Fax: 601-892-7861
Crystal Springs Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 123 Bo Bo Dr, Crystal Springs, MS 39059
Phone: 601-892-1456    Fax: 601-892-1456

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.