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CARNAHAN CLINIC PLLC
NPI 1013039288
Family Medicine in Southaven, MS

Active since April 06, 2007
7900 AIRWAYS BLVD BLDG A STE 6, SOUTHAVEN, MS 38671(662) 536-4646(662) 536-4443 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carnahan Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARNAHAN CLINIC PLLC (NPI 1013039288) is a healthcare organization registered as a family medicine in Southaven, Mississippi and active in the NPI registry since April 2007. The organization lists Walter E Carnahan, Owner, as its authorized official.

NPPES Registry Identity

NPI1013039288
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARNAHAN CLINIC PLLC
Location Address7900 AIRWAYS BLVD BLDG A STE 6Southaven, MS 38671-4113
Mailing Address7900 Airways Blvd Bldg A Ste 6Southaven, MS 38671 · (662) 536-4646 · Fax (662) 536-4443
Phone(662) 536-4646
Fax(662) 536-4443
Organization SubpartNo
Authorized OfficialWalter E CarnahanOwner · (662) 536-4646
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 3, 2008
✔ NPI 1013039288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 16014
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7900 AIRWAYS BLVD BLDG A STE 6, Southaven, MS 38671
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Other Identifiers 5

Other1174501449Dr. Carnahan Npi
Other1184602450Tammy Fnp Npi
Medicare ID-Type UnspecifiedC03390MS
Medicare PIN080004158MS
Medicare UPINF19030MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carnahan Clinic PLLC's NPI number?

The NPI number for Carnahan Clinic PLLC is 1013039288. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Carnahan Clinic PLLC located?

Carnahan Clinic PLLC is located at 7900 Airways Blvd Bldg A Ste 6, Southaven, MS 38671. The listed phone number is (662) 536-4646.

What is Carnahan Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Carnahan Clinic PLLC was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.