Family First Clinic of Clarksdale, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY FIRST CLINIC OF CLARKSDALE, PLLC

Practice address

1015 Lee Dr
Suite 13
Clarksdale, MS 38614-3698

Phone

(662) 592-4170

Fax

(662) 269-0226

NPI assigned

Dec 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Dallas Earnest, FNPNPI 1376752832

Title

Owner

Phone

(662) 592-4170

Specialties & licenses 1

Addresses

Other identifiers 1

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 4

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

• Dallas Maxwell Earnest, FNP

  • Family Nurse Practitioner
  • Clarksdale, MS
  • NPI 1376752832
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Ferracci, FNP

  • Family Nurse Practitioner
  • Clarksdale, MS
  • NPI 1760929939
  Medicare reassignment Care Compare group NPD
• Cody Renaldo Gullick, FNP-C

  • Family Nurse Practitioner
  • Clarksdale, MS
  • NPI 1205319530
  Medicare reassignment NPD
• Vernon T. Hughes Jr., D.O.

  • Emergency Medicine Physician
  • Clarksdale, MS
  • NPI 1427073170
  Medicare reassignment NPD

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1215206016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LEE DR",
            "address_2": "SUITE 13",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143698",
            "telephone_number": "901-737-1992",
            "fax_number": "901-309-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 LEE DR",
            "address_2": "SUITE 13",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143698",
            "telephone_number": "662-592-4170",
            "fax_number": "662-269-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST CLINIC OF CLARKSDALE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "EARNEST",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-592-4170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4258565",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Economy Drugs of Clarksdale, Inc
• Ceclia Ellington, MSW
• Dorcas Poni Eshun, M.D
• Crystal Evans, MSW
• Lucy Evans, M.ED.
• Fast Pace Mississippi, PLLC
• Christopher Ferracci, FNP
• Shirley Figgs
• Amelia C Flowers, MSW
• Cathy C Foster, M.ED., NCC, NCSC, LP

• Family Medicine Physician in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.