| NPI | 1215206016 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2011-12-22 |
| Last Updated | 2024-10-17 |
| Authorized Official | Dallas Earnest Owner Phone: 6625924170 |
| Mailing Address | 1015 Lee Dr, Suite 13 Clarksdale, MS 38614-3698 United States Phone: (901) 737-1992 | Fax: (901) 309-8784 📍 View Map |
| Primary Practice Address | 1015 Lee Dr, Suite 13 Clarksdale, MS 38614-3698 United States Phone: (662) 592-4170 | Fax: (662) 269-0226 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | MS | 4258565 | Blue Cross |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | - | - |
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About NPI 1215206016
Family First Clinic Of Clarksdale, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1215206016. The primary specialty listed is Family Medicine. The organization is located in Clarksdale, MS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-12-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215206016?
NPI 1215206016 belongs to Family First Clinic Of Clarksdale, Pllc, a Family Medicine in Clarksdale, MS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215206016 active?
The current status of NPI 1215206016 in the NPPES registry is Active. The record was last updated on 2024-10-17.
What specialty is NPI 1215206016?
NPI 1215206016 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215206016?
You can verify NPI 1215206016 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215206016?
The primary practice address on file for NPI 1215206016 is 1015 Lee Dr, Clarksdale, MS 38614-3698. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215206016 issued?
NPI 1215206016 was first issued (enumerated) on 2011-12-22. The NPPES record was last updated on 2024-10-17.
Practice Location Map
Family First Clinic Of Clarksdale, Pllc is located at 1015 Lee Dr, Clarksdale, MS. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Family First Clinic Of Clarksdale, Pllc. All records sourced from the CMS NPPES registry.