Mid Delta Family Practice Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MID DELTA FAMILY PRACTICE CLINIC

Practice address

403 S. Davis
Cleveland, MS 38732

Phone

(662) 843-7299

Fax

(662) 843-0010

NPI assigned

Nov 1, 2006

Last updated

May 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nate Brown, MDNPI 1184727745

Title

Medical Director

Phone

(662) 843-7299

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mid Delta Family Practice Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid Delta Family Practice Clinic

  • Legal Medicine
  • Cleveland, MS
  • NPI 1659466563
  NPD tax ID

Practitioners 1

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.

• Nate Brown, MD

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1184727745
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1558449348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387321040",
            "telephone_number": "662-843-7299",
            "fax_number": "662-843-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S. DAVIS",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-843-7299",
            "fax_number": "662-843-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID DELTA FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "662-843-7299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014000",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis McCreary, R.N.
• James McGary III, PHARMD
• Allysa McNeer, CPNP-PC
• Medical Foundation of Central Ms Inc. (Baptist Heart Cleveland)
• Michael D Braswell (DME)
• Mid Delta Family Practice Clinic
• Mid Delta Family Practice Clinic II Inc
• Derek Miles, MD
• Milestone Hospice Incorporated (milestone hospice)
• Mississippi Commcare Corporation a Non Profit Corporation (Cleveland Community Care Center)

• Family Medicine Physician in Cleveland, MS
• Providers in Cleveland, 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 May 19, 2022; 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.