Active NPI
Mid Delta Family Practice Clinic
- Legal Medicine
- Cleveland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 10093
- Legal business name
- MID DELTA FAMILY PRACTICE CLINIC
- Practice address
- 403 S Davis Ave
Cleveland, MS 38732-3411 - Phone
- (662) 843-7299
- NPI assigned
- Oct 4, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nate Brown, M.D.
- Title
- Medical Director
- Phone
- (662) 843-7299
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 10093 | MS | Primary |
Addresses
Primary practice location
403 S Davis Ave
Cleveland, MS 38732-3411
Mailing address
PO Box 1040
Cleveland, MS 38732-1040
Phone (662) 843-7299
National Provider Directory
National Provider Directory- Tax ID family
- Mid Delta Family Practice Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Cleveland, MS
- NPI 1558449348
Locations
403 S Davis Ave
Cleveland, MS 38732
Phone (662) 843-7299
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Cleveland, MS
- NPI 1184727745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659466563",
"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 AVE",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387323411",
"telephone_number": "662-843-7299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID DELTA FAMILY PRACTICE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2020-08-22",
"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": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "MS",
"license": "10093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, MS
- 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)
- Mississippi Methodist Hospital & Rehabilitation Center, Inc. (Methodist Orthotics & Prosthetics Cleveland)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.