Organization Active NPI

The Clinic, LLC

  • Family Medicine Physician
  • Greenville, MS
National Provider Identifier
1114864238
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE CLINIC, LLC
Practice address
2119 Highway 82 E
Greenville, MS 38703-6010
Phone
(662) 522-8290
Fax
(662) 522-8294
NPI assigned
Apr 29, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Mr. Blair Marble
Title
Owner
Phone
(601) 613-5021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2119 Highway 82 E
Greenville, MS 38703-6010

Mailing address

2119 Highway 82 E
Greenville, MS 38703-6010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1114864238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 HIGHWAY 82 E",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387036010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 HIGHWAY 82 E",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387036010",
            "telephone_number": "662-522-8290",
            "fax_number": "662-522-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "MARBLE",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-613-5021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.