URGENT & PRIMARY CARE OF CLARKSDALE LLC NPI 1013444058

NPI Information

  • NPI: 1013444058
  • Provider Name: URGENT & PRIMARY CARE OF CLARKSDALE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 25D2144779
  • Address: 125 HIGHWAY 322
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (662) 313-3269

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NPI Details

URGENT & PRIMARY CARE OF CLARKSDALE LLC is a family medicine in Clarksdale, MS. The provider is 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. URGENT & PRIMARY CARE OF CLARKSDALE LLC NPI is 1013444058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 HIGHWAY 322
CLARKSDALE, MS
ZIP 38614-620
Phone: (662) 313-3269

The provider's authorized official is Mary Williams .
The authorized official title is Owner/provider and has the following contact phone number (662) 351-1970.

The CLIA number assigned to this NPI record is 25D2144779 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2017 and was last updated on 4/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMISSISSIPPIYes
2363LF0000XNurse PractitionerFamilyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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