Calhoun City Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04507 Issued in MS

Legal business name

CALHOUN CITY MEDICAL CLINIC

Practice address

120 Burke - Calhoun City Road
Calhoun City, MS 38916

Phone

(662) 628-5116

Fax

(662) 628-5117

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Guy R Farmer Sr., MD

Title

Owner

Phone

(662) 628-5116

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Manda Sue Griffin, DNP

  • Family Nurse Practitioner
  • Houlka, MS
  • NPI 1386781151
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1669510798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389160599",
            "telephone_number": "662-628-5116",
            "fax_number": "662-628-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BURKE - CALHOUN CITY ROAD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "38916",
            "telephone_number": "662-628-5116",
            "fax_number": "662-628-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN CITY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-628-5116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "04507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09023316",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1750492005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Todd Blair, MD
• Blount Medical LLC
• Boa Vida Hospital of Aberdeen, Ms LLC (MRH Medical Group, Rice Family Medical Clinic)
• John Francis Bradley, DO
• Julia Redwine Brandon, DMD
• Calhoun Family Dentistry PLLC
• Calhoun Health Services
• Calhoun Health Services
• Calhoun Health Services
• Calhoun Health Services

• Family Medicine Physician in Calhoun City, MS
• Providers in Calhoun City, 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 Jun 23, 2011; 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.