Reid Farmer Davis Medico

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REID FARMER DAVIS MEDICO

Doing business as

Devine Family Medical Clinic

Practice address

4080 Highway 8 West
Cleveland, MS 38732

Phone

(662) 402-0686

NPI assigned

Aug 1, 2011

Last updated

Aug 1, 2011By 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

Ms. Louise Reid, FNP-BC

Title

Ceo

Phone

(662) 402-0686

Specialties & licenses 1

Addresses

Other names 1

• Devine Family Medical Clinic Doing business as

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1730467382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 HIGHWAY 8 WEST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-402-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 HIGHWAY 8 WEST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-402-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID FARMER DAVIS MEDICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-402-0686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devine Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Lauren Reed, DPT
• Callie Reed, FNP-C
• Reese Eye Care Services PA
• Frank Edward Reese, O.D.
• Rehabilitation Services of Cleveland, Inc.
• RH Emergency Medicine of Cleveland LLC
• Cullie Taylor Roberts Jr., R.PH.
• Molly Roberts
• John Morgan Robinson, DPT
• Reginald L. Rodges, D.C.

• Primary Care Clinic/Center in Cleveland, MS
• Providers in Cleveland, 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 Aug 1, 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.