NPIMap

Organization Active NPI

Clarksdale Hma

Doing business as Northwest Mississippi Regional Medical Center

  • Gastroenterology Physician
  • Clarksdale, MS
National Provider Identifier
1508984436
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CLARKSDALE HMA
Doing business as
Northwest Mississippi Regional Medical Center
Practice address
785 Ohio Ave
Suite 2F
Clarksdale, MS 38614-9734
Phone
(662) 621-5081
Fax
(662) 621-5083
NPI assigned
Mar 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Ann Nowell
Title
Physician Practice Manager
Phone
(662) 624-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

785 Ohio Ave
Suite 2F
Clarksdale, MS 38614-9734

Mailing address

580 Friars Point Rd
Clarksdale, MS 38614-9734
Phone (662) 624-8000

Other names 1

  • Northwest Mississippi Regional Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508984436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 FRIARS POINT RD",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386149734",
            "telephone_number": "662-624-8000",
            "fax_number": "662-627-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 OHIO AVE",
            "address_2": "SUITE 2F",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386149734",
            "telephone_number": "662-621-5081",
            "fax_number": "662-621-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSDALE HMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NOWELL",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE MANAGER",
        "authorized_official_telephone_number": "662-624-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Mississippi Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.