McClendon Medical Clinic PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

8249 Issued in MS

Legal business name

MCCLENDON MEDICAL CLINIC PLLC

Practice address

22C Doctors Dr
Ocean Springs, MS 39564-5721

Phone

(601) 906-2701

NPI assigned

Oct 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William David McClendon Jr., MDNPI 1790735652

Title

Owner

Phone

(601) 906-2701

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William David McClendon Jr., MD

  • General Practice Physician
  • Pascagoula, MS
  • NPI 1790735652
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Foster Brushaber, NP

  • Family Nurse Practitioner
  • Biloxi, MS
  • NPI 1477144939
  Medicare reassignment Care Compare group NPD
• Matthew Jacob Murray, MD

  • Internal Medicine Physician
  • Gulfport, MS
  • NPI 1104238153
  Medicare reassignment Care Compare group NPD
• Kelly Rhodes, FNP-C, AGACNP-BC

  • Nurse Practitioner
  • Gautier, MS
  • NPI 1871933994
  Medicare reassignment Care Compare group NPD
• Brianna Campbell, N.P.

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1679962765

  MS

  Medicare reassignment Care Compare group NPD
• Hart Katherine Wylie, PMHNP, LPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1053639088
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1053782755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22C DOCTORS DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645721",
            "telephone_number": "601-906-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22C DOCTORS DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645721",
            "telephone_number": "601-906-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLENDON MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2023-05-10",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-906-2701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "8249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Mauldin, M.D.
• Brian M Maxey, DDS
• Haley May
• Jocelyln A. Mayfield, MPT
• Tyler McCabe, D.M.D.
• Kasi Michelle McDaniel, DNP, FNP-C
• Savannah Carter McDaniel, NP-C
• Stephen T McDavid, D.O.
• Samantha Burch McGill, NP-C
• Jacqueline McGrew

• Clinic/Center in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.