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SHAW COMMUNITY CARE CLINIC
NPI 1194854208
Family Medicine in Shaw, MS

Active since March 05, 2007
112 PEELER AVE, SHAW, MS 38773(662) 754-2060 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaw Community Care Clinic NPPES

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

SHAW COMMUNITY CARE CLINIC (NPI 1194854208) is a healthcare organization registered as a family medicine in Shaw, Mississippi and active in the NPI registry since March 2007. The organization lists Karla Lee Graves, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194854208
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHAW COMMUNITY CARE CLINIC
Location Address112 PEELER AVEShaw, MS 38773
Mailing AddressPo Box 5097Greenville, MS 38704-5097 · (662) 332-8848
Phone(662) 754-2060
Organization SubpartNo
Authorized OfficialKarla Lee GravesAdministrator · (662) 332-8848
Enumeration DateMarch 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194854208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
112 PEELER AVE, Shaw, MS 38773
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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

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

SHAW COMMUNITY CARE CLINIC
Clinic/Center
112 PEELER AVE
SHAW, MS 38773
Bolivar County (662) 332-8848

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 Community Care Clinic's NPI number?

The NPI number for Shaw Community Care Clinic is 1194854208. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Shaw Community Care Clinic located?

Shaw Community Care Clinic is located at 112 Peeler Ave, Shaw, MS 38773. The listed phone number is (662) 754-2060.

What is Shaw Community Care Clinic'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 Shaw Community Care 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 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.