Inspired Health Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INSPIRED HEALTH CLINIC

Practice address

1016 Mission 66
Vicksburg, MS 39183-2752

Phone

(601) 876-7003

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Shinita Reed Dudley, MD

Title

Owner

Phone

(601) 213-7681

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1336866615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390600550",
            "telephone_number": "601-876-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832752",
            "telephone_number": "601-876-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "SHINITA",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-213-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banu Husain
• Casen Lane Hutchinson, NP-C
• Patrick Emeka Igbokwe, PH.D.
• Marjorie Elizabeth Iles, OT
• Infiniti Healthcare Solutions
• Inspired Healthcare Clinic
• Integrity Home Care Group, LLC
• Dedri Markita Ivory, M.D.
• J Russell Barnes MD PC
• Veronica D Jackson Byrd

• Family Medicine Physician in Vicksburg, MS
• Providers in Vicksburg, 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 Jan 31, 2023; 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.