Potts Camp Family Medical Clinic
NPI 1942519517 · Family Nurse Practitioner · Potts Camp, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Potts Camp Family Medical Clinic is a Family Nurse Practitioner organization in Potts Camp, MS (NPI 1942519517).
Provider details
- NPI number
- 1942519517
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Alice Stine, Business Manager(662) 333-4333
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2010-09-30
- Last updated
- 2010-09-30
Frequently asked questions
- What is Potts Camp Family Medical Clinic's NPI number?
- Potts Camp Family Medical Clinic's National Provider Identifier (NPI) is 1942519517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potts Camp Family Medical Clinic?
- Potts Camp Family Medical Clinic is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Potts Camp Family Medical Clinic located?
- Potts Camp Family Medical Clinic's practice location on file with NPPES is 3 Reids Alley, Potts Camp, MS 38659.
- What is Potts Camp Family Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Potts Camp Family Medical Clinic is (662) 333-4333.
- Does Potts Camp Family Medical Clinic accept Medicare?
- Potts Camp Family Medical Clinic 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 Potts Camp Family Medical Clinic?
- The authorized official listed on Potts Camp Family Medical Clinic's NPPES record is Alice Stine, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potts Camp Family Medical Clinic's NPI active?
- Yes — Potts Camp Family Medical Clinic's NPI (1942519517) is active in the NPPES registry as of the last update on 2010-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.