ASU FAMILY CLINIC
NPI 1285776328
Clinic/Center - Health Service in Natchez, MS

NPI Status: Active since February 13, 2007

Contact Information

15 CAMPUS DR
NATCHEZ, MS
ZIP 39120
Phone: (601) 304-4375
Fax: (601) 304-4355

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 25D0666058
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 07-23-2026

About ASU FAMILY CLINIC

This page provides the complete NPI Profile along with additional information for Asu Family Clinic, a provider established in Natchez, Mississippi operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1285776328 assigned on February 2007. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Asu Family Clinic. The authorized official of this NPI record is Dr. Linda Godley (Director)

NPI
1285776328
Provider Legal Name
ALCORN STATE UNIVERSITY
Other Organization Name
ASU FAMILY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15 CAMPUS DR NATCHEZ, MS 39120
Location Phone
(601) 304-4375
Location Fax
(601) 304-4355
Mailing Address
15 CAMPUS DR NATCHEZ, MS 39120
Mailing Phone
(601) 304-4334
Mailing Fax
(601) 304-4355
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-13-2007
Last Update Date
12-20-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LINDA GODLEY

Authorized Official Title
DIRECTOR
Authorized Official Phone
(601) 304-4375

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
09014990MEDICARE ID-TYPE UNSPECIFIED (04)MS 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D0666058
Facility Type
Community Clinic
Certificate Effective Date
July 24, 2024
Certificate Expiration Date
July 23, 2026
Laboratory Director
SHIRLEY EVERS-MANLY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Asu Family Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ASU FAMILY CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285776328
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651471234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 7 + 1 + 2 + 3 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285776328 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386845469MRS. LINDA GALE HAWKINS FNP NC
Individual
Nurse Practitioner15 CAMPUS DR
NATCHEZ, MS 39120
(601) 304-4300
1447444922MRS. TERESA LOWERY BRYAN CFNP
Individual
Nurse Practitioner (Family)15 CAMPUS DR
NATCHEZ, MS 39120
(601) 304-4300
1972864148MS. LACEY LANE BLESSITT FNP-BC
Individual
Nurse Practitioner (Family)15 CAMPUS DR
NATCHEZ, MS 39120
(601) 304-4375

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285776328, enumerated in the NPI registry as an "organization" on February 13, 2007

The provider is located at 15 Campus Dr Natchez, Ms 39120 and the phone number is (601) 304-4375

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 25D0666058 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.