Inspired Healthcare Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INSPIRED HEALTHCARE CLINIC

Doing business as

Inspired Health Clinic

Practice address

1016 Mission 66
Vicksburg, MS 39183-2752

Phone

(601) 876-7003

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Shinita Reed Dudley, MDNPI 1154354603

Title

President

Phone

(601) 213-7681

Specialties & licenses 1

Addresses

Other names 1

• Inspired Health Clinic Doing business as

Practitioners 1

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

• Shinita Reed Dudley, MD

  • Family Medicine Physician
  • Clinton, MS
  • NPI 1154354603
  NPD Authorized official

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1881310332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832752",
            "telephone_number": "601-876-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832752",
            "telephone_number": "601-876-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "SHINITA",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-213-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspired Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casen Lane Hutchinson, NP-C
• Patrick Emeka Igbokwe, PH.D.
• Marjorie Elizabeth Iles, OT
• Infiniti Healthcare Solutions
• Inspired Health Clinic
• Integrity Home Care Group, LLC
• Dedri Markita Ivory, M.D.
• J Russell Barnes MD PC
• Veronica D Jackson Byrd
• Jackson Oncology Associates, PLLC

• Family Medicine Physician in Vicksburg, MS
• Providers in Vicksburg, 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 Oct 25, 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.