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STANFORD CLINIC LLC
NPI 1225979826
General Practice in Lucedale, MS

Active since April 06, 2026
5192 MAIN ST, LUCEDALE, MS 39452(601) 947-0250 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stanford Clinic Llc NPPES

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

STANFORD CLINIC LLC (NPI 1225979826) is a healthcare organization registered as a general practice in Lucedale, Mississippi and active in the NPI registry since April 2026. The organization lists Casey Stanford, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1225979826
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSTANFORD CLINIC LLC
Location Address5192 MAIN STLucedale, MS 39452-6771
Mailing Address5192 Main StLucedale, MS 39452-6771 · (601) 947-0250
Phone(601) 947-0250
Organization SubpartNo
Authorized OfficialCasey StanfordOwner/md · (601) 947-0250
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1225979826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5192 MAIN ST, Lucedale, MS 39452
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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.

DR. CASEY CHRISTOPHER STANFORD MD
General Practice
5192 MAIN ST
LUCEDALE, MS 39452
George County (601) 947-0250

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 Stanford Clinic LLC's NPI number?

The NPI number for Stanford Clinic LLC is 1225979826. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Stanford Clinic LLC located?

Stanford Clinic LLC is located at 5192 Main St, Lucedale, MS 39452. The listed phone number is (601) 947-0250.

What is Stanford Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Stanford Clinic LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.