Faith Family Clinic of Booneville
NPI 1063911485 · Primary Care Clinic/Center · Booneville, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Faith Family Clinic of Booneville is a Primary Care Clinic/Center organization in Booneville, MS (NPI 1063911485).
Provider details
- NPI number
- 1063911485
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amber Janzen, Fnp(662) 728-0162
- License
- R871985 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-12
- Last updated
- 2018-02-12
Frequently asked questions
- What is Faith Family Clinic of Booneville's NPI number?
- Faith Family Clinic of Booneville's National Provider Identifier (NPI) is 1063911485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Faith Family Clinic of Booneville?
- Faith Family Clinic of Booneville is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Faith Family Clinic of Booneville located?
- Faith Family Clinic of Booneville's practice location on file with NPPES is 2209 N 2nd St, Booneville, MS 38829-7734.
- What is Faith Family Clinic of Booneville's phone number?
- The practice phone number listed in the NPPES registry for Faith Family Clinic of Booneville is (662) 728-0162.
- Does Faith Family Clinic of Booneville accept Medicare?
- Faith Family Clinic of Booneville is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Faith Family Clinic of Booneville?
- The authorized official listed on Faith Family Clinic of Booneville's NPPES record is Amber Janzen, Fnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Faith Family Clinic of Booneville's NPI active?
- Yes — Faith Family Clinic of Booneville's NPI (1063911485) is active in the NPPES registry as of the last update on 2018-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.