DURANT PRIMARY CARE CLINIC
NPI 1124100813
Clinic/Center - Primary Care in Durant, MS

Active since October 20, 2006
638 NORTHWEST AVE, DURANT, MS 39063(662) 653-1002(662) 653-1038 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Durant Primary Care Clinic NPPES

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

DURANT PRIMARY CARE CLINIC (NPI 1124100813) is a healthcare organization registered as a primary care in Durant, Mississippi and active in the NPI registry since October 2006. The organization lists Elias Abboud, Owner, as its authorized official.

NPPES Registry Identity

NPI1124100813
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDURANT PRIMARY CARE CLINIC
Location Address638 NORTHWEST AVEDurant, MS 39063-3337
Mailing Address638 Northwest AveDurant, MS 39063-3337 · (662) 653-1002 · Fax (662) 653-1038
Fax(662) 653-1038
Organization SubpartNo
Authorized OfficialElias AbboudOwner · (662) 653-1002
Enumeration DateOctober 20, 2006
Last NPPES UpdateSeptember 29, 2009
NPI 1124100813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
638 NORTHWEST AVE, Durant, MS 39063

Other Identifiers 5

Medicare ID-Type Unspecified258990MS
Medicare ID-Type UnspecifiedC03007MS
Medicaid01824892MS
Medicaid09807861MS
Medicare UPINF43174MS

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Rural Health)
638 NORTHWEST AVE
DURANT, MS 39063
Early Intervention Provider Agency
638 NORTHWEST AVE
DURANT, MS 39063
Clinic/Center
638 NORTHWEST AVE
DURANT, MS 39063

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 Durant Primary Care Clinic's NPI number?

The NPI number for Durant Primary Care Clinic is 1124100813. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Durant Primary Care Clinic located?

Durant Primary Care Clinic is located at 638 Northwest Ave, Durant, MS 39063. The listed phone number is (662) 653-1002.

What is Durant Primary Care Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Durant Primary Care Clinic was last updated on September 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.