CLARKSDALE REGIONAL PHYSICIANS, LLC (NPI# 1386184554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386184554 |
| Entity Type | Organization |
| Organization Name | CLARKSDALE REGIONAL PHYSICIANS, LLC |
| Other Organization Name | CLARKSDALE CAMPBELL FAMILY CLINIC |
| Practice Address |
785 Ohio Ave Suite 3g Clarksdale MS 38614 |
| Mailing Address |
1721 Midpark Rd Suite B200 Knoxville TN 37921-5977 |
| Practice Telephone | 6626248000 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | STEVE CLAPP (PRESIDENT) |
| Authorized Official Telephone | 8652694074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clarksdale Campbell Family Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1970 Hospital Dr, Clarksdale, MS 386147202 | 6626215130 | |
| 411 Poplar St, Marks, MS 386461338 | 6623269232 | |
| 580 Friars Point Rd, Clarksdale, MS 386149734 | 6626244316 | |
| 785 Ohio Ave, Suite 3g, Clarksdale, MS 38614 | 6626248000 | |
| 785 Ohio Ave Ste 1h, Clarksdale, MS 386146213 | 6626212438 | |
| 785 Ohio Ave Ste 2h, Clarksdale, MS 386146216 | 6626273003 | |
| 785 Ohio Ave Ste 3d, Clarksdale, MS 386146215 | 6626277726 | |
| 785 Ohio Ave Ste 3e, Clarksdale, MS 386146215 | 6626245801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233755 | Clarksdale Regional Physicians, LLC | Internal Medicine | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2018-05-01 |
| 1558863852 | Clarksdale Regional Physicians, LLC | Nurse Anesthetist, Certified Registered | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2018-03-02 |
| Street Address |
785 OHIO AVE SUITE 3G |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929104 | Thomas E Weldon | Urology | 785 Ohio Ave, Suite 3e, Clarksdale, MS 38614-6217 | 2005-08-17 |
| 1417309519 | Kathryn Carter | Specialist/Technologist | 785 Ohio Ave, Suite 1h, Clarksdale, MS 38614-6217 | 2016-07-13 |
| 1568814655 | Sherrica Sherrell Smith | Nurse Practitioner | 785 Ohio Ave, Suite 3e, Clarksdale, MS 38614-6217 | 2016-07-13 |
| 1679985493 | Kalilah Kemp | Specialist/Technologist | 785 Ohio Ave, Suite 1h, Clarksdale, MS 38614-6217 | 2014-05-28 |
| 1700125002 | Valerie Orcutt Antici | Nurse Practitioner | 785 Ohio Ave, Suite 1d, Clarksdale, MS 38614-6217 | 2013-02-06 |
| 1811278138 | Janet Dillon | Dietitian, Registered | 785 Ohio Ave, Suite 2f, Clarksdale, MS 38614-6217 | 2011-08-31 |
| 1881827186 | Dorothy L Booker | Dietitian, Registered | 785 Ohio Ave, Suite 2f, Clarksdale, MS 38614-6217 | 2009-09-02 |
| 1487884938 | Carrie Cope Melton | Nurse Practitioner | 785 Ohio Ave, Suite 1d, Clarksdale, MS 38614-6217 | 2009-07-17 |
| 1679714091 | Andrea L. Smith Md | Internal Medicine | 785 Ohio Ave, Suite 1d, Clarksdale, MS 38614-6217 | 2009-03-14 |
| 1255580049 | Delta Neurology Clinic, Pllc | Clinic/Center | 785 Ohio Ave, Suite 2c, Clarksdale, MS 38614-6217 | 2008-09-16 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1841383619 | Andrea Lea Smith | Internal Medicine | 785 Ohio Avenue, Suite 1d, Clarksdale, MS 38614 | 2006-10-02 |
| 1609815000 | Kenneth W Kellough | Internal Medicine | 705 N State St, Clarksdale, MS 38614-6519 | 2006-06-04 |
| 1396233755 | Clarksdale Regional Physicians, LLC | Internal Medicine | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2018-05-01 |
| 1083024558 | April Danielle Carter | Internal Medicine | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2014-05-05 |
| 1679714091 | Andrea L. Smith Md | Internal Medicine | 785 Ohio Ave, Suite 1d, Clarksdale, MS 38614-6217 | 2009-03-14 |
| 1508087214 | Robert Ray Mcgee | Internal Medicine | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2007-05-01 |
| 1780778571 | North Delta Medicine Clinic P A | Internal Medicine | 705 N State St, Clarksdale, MS 38614-6519 | 2006-10-03 |
| 1356367452 | Jacqueline L Hampton | Internal Medicine | 785 Ohio Ave, Suite 3d, Clarksdale, MS 38614 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1497391288 | Ahmad Abdali Haidar Md Pa | Internal Medicine | 200 Golf Course Dr, Carriere, MS 39426-9037 | 2019-11-27 |
| 1437711991 | Amanda L Wiltshire | Internal Medicine | 1300 Sunset Dr Ste A, Grenada, MS 38901-4081 | 2019-07-05 |
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1023675048 | Fitvisits LLC | Internal Medicine | 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157-4800 | 2019-05-24 |
| 1629542832 | Internal Medicine Primary Care Pa | Internal Medicine | 140 Daughdrill Sta, Flowood, MS 39232-8406 | 2019-01-22 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
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| 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.