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OXFORD SPECIALTY CLINIC
NPI 1124632716
Nurse Practitioner - Family in Oxford, MS

Active since September 01, 2020
1205 OFFICE PARK DR, OXFORD, MS 38655(662) 638-3412 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 29, 2020, Sep 1, 2020 (2 updates tracked since 2020).

About Oxford Specialty Clinic NPPES

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

OXFORD SPECIALTY CLINIC (NPI 1124632716) is a healthcare organization registered as a family in Oxford, Mississippi and active in the NPI registry since September 2020. The organization lists Bridgett Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1124632716
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOXFORD SPECIALTY CLINIC
Location Address1205 OFFICE PARK DROxford, MS 38655-3545
Mailing AddressPo Box 1454Oxford, MS 38655-1454 · (662) 638-3412
Phone(662) 638-3412
Organization SubpartNo
Authorized OfficialBridgett GreenOwner · (662) 638-3412
Enumeration DateSeptember 1, 2020
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1124632716 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
1205 OFFICE PARK DR, Oxford, MS 38655
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Other Identifiers 1

Medicaid07431342MS

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 Oxford Specialty Clinic's NPI number?

The NPI number for Oxford Specialty Clinic is 1124632716. It was assigned to this organization in the NPPES registry on September 1, 2020.

Where is Oxford Specialty Clinic located?

Oxford Specialty Clinic is located at 1205 Office Park Dr, Oxford, MS 38655. The listed phone number is (662) 638-3412.

What is Oxford Specialty 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 Oxford Specialty Clinic was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.