GOUGH'S FAMILY AND PEDIATRIC CLINIC
NPI 1528306222
Clinic/Center - Primary Care in Drew, MS

Active since January 30, 2013
189 N MAIN ST, DREW, MS 38737(662) 745-6638(662) 745-8480 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gough's Family And Pediatric Clinic NPPES

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

GOUGH'S FAMILY AND PEDIATRIC CLINIC (NPI 1528306222) is a healthcare organization registered as a primary care in Drew, Mississippi and active in the NPI registry since January 2013. The organization lists Walter Gough, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1528306222
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGOUGH'S FAMILY AND PEDIATRIC CLINIC
Location Address189 N MAIN STDrew, MS 38737-3146
Mailing AddressPo Box 68Drew, MS 38737-0068 · (662) 745-6638 · Fax (662) 745-8480
Fax(662) 745-8480
Organization SubpartNo
Authorized OfficialWalter GoughOwner/physician · (662) 745-6638
Enumeration DateJanuary 30, 2013
NPI 1528306222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MS · 06639
189 N MAIN ST, Drew, MS 38737

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
189 N MAIN ST
DREW, MS 38737
Family Medicine
189 N MAIN ST
DREW, MS 38737

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 Gough's Family And Pediatric Clinic's NPI number?

The NPI number for Gough's Family And Pediatric Clinic is 1528306222. It was assigned to this organization in the NPPES registry on January 30, 2013.

Where is Gough's Family And Pediatric Clinic located?

Gough's Family And Pediatric Clinic is located at 189 N Main St, Drew, MS 38737. The listed phone number is (662) 745-6638.

What is Gough's Family And Pediatric 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 Gough's Family And Pediatric Clinic was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.