Family Medical Clinic of Crystal Springs PLLC
NPI 1205915998 · Family Medicine Physician · Crystal Springs, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Family Medical Clinic of Crystal Springs PLLC is a Family Medicine Physician organization in Crystal Springs, MS (NPI 1205915998).
Provider details
- NPI number
- 1205915998
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Ervin, President(601) 892-3063
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-11-03
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Family Medical Clinic of Crystal Springs PLLC's NPI number?
- Family Medical Clinic of Crystal Springs PLLC's National Provider Identifier (NPI) is 1205915998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Medical Clinic of Crystal Springs PLLC?
- Family Medical Clinic of Crystal Springs PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Family Medical Clinic of Crystal Springs PLLC located?
- Family Medical Clinic of Crystal Springs PLLC's practice location on file with NPPES is 104 W Railroad Ave S, Crystal Springs, MS 39059-2111.
- What is Family Medical Clinic of Crystal Springs PLLC's phone number?
- The practice phone number listed in the NPPES registry for Family Medical Clinic of Crystal Springs PLLC is (601) 892-3063.
- Does Family Medical Clinic of Crystal Springs PLLC accept Medicare?
- Family Medical Clinic of Crystal Springs PLLC 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 Family Medical Clinic of Crystal Springs PLLC?
- The authorized official listed on Family Medical Clinic of Crystal Springs PLLC's NPPES record is James Ervin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Medical Clinic of Crystal Springs PLLC's NPI active?
- Yes — Family Medical Clinic of Crystal Springs PLLC's NPI (1205915998) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.