FAMILY FIRST CLINIC OF CLARKSDALE, PLLC (NPI# 1215206016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215206016 |
| Entity Type | Organization |
| Organization Name | FAMILY FIRST CLINIC OF CLARKSDALE, PLLC |
| Practice Address |
1015 Lee Dr Suite 13 Clarksdale MS 38614-3698 |
| Practice Telephone | 9017371992 |
| Practice Fax Number | 9013098784 |
| Mailing Telephone | 9017371992 |
| Mailing Fax Number | 9013098784 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Authorized Official Name | MRS. PAULA ALDRIDGE (ADMINISTRATOR) |
| Authorized Official Telephone | 9017371992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS | 4258565 | 01 |
| Street Address |
1015 LEE DR SUITE 13 |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614-3698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396857165 | Michael Kevin Spears | Occupational Therapist | 1015 Lee Dr, Suite 1 B, Clarksdale, MS 38614-3698 | 2006-08-31 |
| 1154586774 | Timothy Craig Byrd | Physical Therapist | 1015 Lee Dr, Suite 1b, Clarksdale, MS 38614-3698 | 2008-07-23 |
| 1962617266 | Brian Andrew Woods | Physical Therapist | 1015 Lee Dr, Suite 1b, Clarksdale, MS 38614-3698 | 2007-05-11 |
| 1477618809 | Westgate Drugs Inc | Pharmacy | 1015 Lee Dr, Suite 11, Clarksdale, MS 38614-3698 | 2006-12-26 |
| 1558431338 | Jayson Phillips Smith | Physical Therapist | 1015 Lee Dr, Suite 1 B, Clarksdale, MS 38614-3698 | 2006-11-08 |
| 1245330430 | Preston Deshawn Ratiff IIi | Physical Therapist | 1015 Lee Dr, Suite 1 B, Clarksdale, MS 38614-3698 | 2006-09-25 |
| 1750486049 | Advanced Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1015 Lee Dr, Suite 1b, Clarksdale, MS 38614-3698 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306858436 | James Edward Warrington Sr. | Family Medicine | 551 Medical Dr, Clarksdale, MS 38614-6733 | 2006-08-13 |
| 1386184554 | Clarksdale Regional Physicians, LLC | Family Medicine | 785 Ohio Ave, Suite 3g, Clarksdale, MS 38614 | 2017-03-07 |
| 1063654721 | Clarksdale Hma Physican Management, LLC | Family Medicine | 580 Friars Point Rd, Clarksdale, MS 38614-9734 | 2009-03-27 |
| 1720087521 | William Lloyd Booker | Family Medicine | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
Please comment or provide details below to improve the information on FAMILY FIRST CLINIC OF CLARKSDALE, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.