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TERRY FAMILY MEDICAL CLINIC
NPI 1063629376
Nurse Practitioner - Family in Terry, MS

Active since May 17, 2007
120 W RAYMOND STREET, TERRY, MS 39170(601) 878-5115(601) 878-5164 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Terry Family Medical Clinic NPPES

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

TERRY FAMILY MEDICAL CLINIC (NPI 1063629376) is a healthcare organization registered as a family in Terry, Mississippi and active in the NPI registry since May 2007. The organization lists Gloria Areghan, Owner, as its authorized official.

NPPES Registry Identity

NPI1063629376
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTERRY FAMILY MEDICAL CLINIC
Location Address120 W RAYMOND STREETTerry, MS 39170-0970
Mailing AddressPo Box 370Terry, MS 39170-0370 · (601) 878-5115 · Fax (601) 878-5164
Phone(601) 878-5115
Fax(601) 878-5164
Organization SubpartNo
Authorized OfficialGloria AreghanOwner · (601) 878-5115
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063629376 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
120 W RAYMOND STREET, Terry, MS 39170
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Other Identifiers 1

Medicaid09015232MS

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 Terry Family Medical Clinic's NPI number?

The NPI number for Terry Family Medical Clinic is 1063629376. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Terry Family Medical Clinic located?

Terry Family Medical Clinic is located at 120 W Raymond Street, Terry, MS 39170. The listed phone number is (601) 878-5115.

What is Terry Family Medical Clinic'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 Terry Family Medical Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.