Organization Active NPI

Northwest Miss Regional Medical Center

Doing business as NWMRMC Woman's Clinic - Cleveland

  • Obstetrics & Gynecology Physician
  • Cleveland, MS
National Provider Identifier
1912738469
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NORTHWEST MISS REGIONAL MEDICAL CENTER
Doing business as
NWMRMC Woman's Clinic - Cleveland
Practice address
802 E Sunflower Rd
Cleveland, MS 38732-2824
Phone
(662) 627-7362
Fax
(662) 627-5106
NPI assigned
Aug 7, 2024
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Lorie Till
Title
Ceo
Phone
(662) 624-3480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

802 E Sunflower Rd
Cleveland, MS 38732-2824

Mailing address

PO Box 340
Clarksdale, MS 38614-0340
Phone (662) 624-3480

Other names 1

  • NWMRMC Woman's Clinic - Cleveland Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2313914Nwmrmc Woman's Clinic Cleveland802 E Sunflower, Cleveland, MS 38732Provider-performed microscopyNov 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
NW Ms Reg Med Ctr5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

802 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 627-7362

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1912738469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386140340",
            "telephone_number": "662-624-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322824",
            "telephone_number": "662-627-7362",
            "fax_number": "662-627-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MISS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "TILL",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-624-3480"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NWMRMC Woman's Clinic - Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.