Steele Medical Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

STEELE MEDICAL CLINIC LLC

Practice address

1757 Highway 178 W Ste a
Myrtle, MS 38650-9233

Phone

(662) 988-7041

Fax

(662) 988-7052

NPI assigned

May 24, 2022

Last updated

Oct 4, 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

Robert Steele IV, PANPI 1053887208

Title

Owner

Phone

(662) 471-1805

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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.

• Robert Lee Steele IV, PA-C

  • Medical Physician Assistant
  • Myrtle, MS
  • NPI 1053887208
  Medicare reassignment Care Compare group Authorized official
• Paula Decanter, FNP

  • Family Nurse Practitioner
  • Blue Mountain, MS
  • NPI 1750351540
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1720726391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 HIGHWAY 178 W STE A",
            "city": "MYRTLE",
            "state": "MS",
            "postal_code": "386509233",
            "telephone_number": "662-988-7041",
            "fax_number": "662-988-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 HIGHWAY 178 W STE A",
            "city": "MYRTLE",
            "state": "MS",
            "postal_code": "386509233",
            "telephone_number": "662-988-7041",
            "fax_number": "662-988-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-471-1805",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Drugs Inc (Magnolia Drugs)
• Emily Irene Orme Cale, LMFT
• April Denham Robbins, CFNP
• Scott Family Medicine PLLC
• Christy Spencer, RD
• Robert Lee Steele IV, PA-C
• The Sunshine Inn, Inc.
• West Union Clinic

• Primary Care Clinic/Center in Myrtle, MS
• Providers in Myrtle, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.