Clifton Dewayne Reed

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R877471 Issued in MS

Practice address

112 W Peeler Ave
Shaw, MS 38773-8710

Phone

(662) 754-3304

Fax

(662) 754-3301

NPI assigned

Sep 11, 2018

Last updated

Sep 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

North Sunflower Medical CenterGroup PAC ID 7618932294, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042
• North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Sunflower Medical Center

  dba Cleveland Medical Clinic

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1891705133
  Medicare reassignment Care Compare group NPD
• Thrive Medical & Wellness, PLLC

  • Family Nurse Practitioner
  • Clarksdale, MS
  • NPI 1811888027
  Medicare reassignment NPD Authorized official
• Shaw Family Medical, LLC

  dba Shaw Family Medical

  • Clinic/Center
  • Shaw, MS
  • NPI 1750642633
  Medicare reassignment NPD
• North Sunflower Medical Center

  dba NSMC Pro Fees

  • Hospitalist Physician
  • Ruleville, MS
  • NPI 1013128644
  NPD
• North Sunflower Medical Center

  dba Sunflower Greenwood Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Greenwood, MS
  • NPI 1730903287
  NPD
• Shaw Family Medical, LLC

  dba Gough's Family Medical Clinic

  • Family Nurse Practitioner
  • Drew, MS
  • NPI 1043665532
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Care Compare affiliation
• Northwest Miss Regional Medical Center

  dba Northwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1275217606
  Care Compare affiliation

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1912480328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W PEELER AVE",
            "city": "SHAW",
            "state": "MS",
            "postal_code": "387738710",
            "telephone_number": "662-754-3304",
            "fax_number": "662-754-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W PEELER AVE",
            "city": "SHAW",
            "state": "MS",
            "postal_code": "387738710",
            "telephone_number": "662-754-3304",
            "fax_number": "662-754-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "CLIFTON",
        "middle_name": "DEWAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R877471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Making Moves in the Community, Incorporated
• Maximum Care After Hours Clinic, LLC
• Corissa McClure
• Ronnie Lane Poe, PHARMACIST
• Preservers of Life Hospice
• Kimberly Robinson, FNP-C
• La Robinson
• Shaw Community Care Clinic
• Shaw Community Care Clinic
• Shaw Family Medical, LLC (Shaw Family Medical)

• Family Nurse Practitioner in Shaw, MS
• Providers in Shaw, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.