GOUGH'S FAMILY MEDICAL CLINIC
NPI 1043665532
Nurse Practitioner - Family in Drew, MS

Q: What is Shaw Family Medical, LLC's NPI number?

The NPI number for Shaw Family Medical, LLC is 1043665532. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider is doing business as Gough's Family Medical Clinic.

Q: What is Shaw Family Medical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 03, 2016

189 N MAIN ST, DREW, MS 38737(662) 745-6638(662) 745-8480 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Gough's Family Medical Clinic NPPES

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

GOUGH'S FAMILY MEDICAL CLINIC (NPI 1043665532) is a healthcare organization registered as a family in Drew, Mississippi and active in the NPI registry since May 2016. The organization lists Nora Gough-davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1043665532

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSHAW FAMILY MEDICAL, LLC

Location Address189 N MAIN STDrew, MS 38737-3146

Mailing AddressPo Box 68Drew, MS 38737-0068 · (662) 745-6638 · Fax (662) 745-8480

Phone(662) 745-6638

Fax(662) 745-8480

Organization SubpartYes

Authorized OfficialNora Gough-davisOwner · (662) 745-6638

Enumeration DateMay 3, 2016

✔ NPI 1043665532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R872155

189 N MAIN ST, Drew, MS 38737

Open in Google Maps ↗

Other Names 1

Doing Business AsGough's Family Medical Clinic

Other Identifiers 2

Medicaid04406222MS

Medicare UPIN3070G0428MS

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOUGH'S FAMILY AND PEDIATRIC CLINIC

Clinic/Center (Primary Care)

189 N MAIN ST
DREW, MS 38737

Sunflower County (662) 745-6638

MAKING MOVES IN THE COMMUNITY, INCORPORATED

Family Medicine

189 N MAIN ST
DREW, MS 38737

Sunflower County (662) 745-6638

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 Shaw Family Medical, LLC's NPI number?

The NPI number for Shaw Family Medical, LLC is 1043665532. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider is doing business as Gough's Family Medical Clinic.

Where is Shaw Family Medical, LLC located?

Shaw Family Medical, LLC is located at 189 N Main St, Drew, MS 38737. The listed phone number is (662) 745-6638.

What is Shaw Family Medical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shaw Family Medical, LLC was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.