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Southern Family Medicine

Medical Specialty Clinic/Center in Collins, MS · enumerated 2005 · authorized official Jason Beasley, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982608691

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Family Medicine
Practice address 603 S Holly Ave, Collins, MS, 39428
Phone (601) 765-9393
Fax (601) 765-9363
Enumeration date Jun 9, 2005
Last updated in NPPES Jan 22, 2019

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jason Beasley
Title Owner
Phone (601) 765-9393

Other identifiers

Identifier Type State Issuer
01588261 Medicaid MS -
25D1026870 Other - CLIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Southern Family Medicine?
Southern Family Medicine is registered in NPPES as a Medical Specialty Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-22.