GREENWOOD PRIMARY CARE CLINIC
NPI 1548616832
Clinic/Center in Greenwood, MS

Active since May 05, 2016
102 PROFESSIONAL PL, GREENWOOD, MS 38930(662) 453-1852 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 14, 2022, Sep 20, 2021, Jun 24, 2020 and 2 more (5 updates tracked since 2017).

About Greenwood Primary Care Clinic NPPES

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

GREENWOOD PRIMARY CARE CLINIC (NPI 1548616832) is a healthcare organization registered as a clinic/center in Greenwood, Mississippi and active in the NPI registry since May 2016. The organization lists Dawne Holmes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548616832
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGREENWOOD LEFLORE HOSPITAL
Location Address102 PROFESSIONAL PLGreenwood, MS 38930-9633
Mailing AddressPo Box 1410Greenwood, MS 38935-1410 · (662) 453-1852
Organization SubpartNo
Authorized OfficialDawne HolmesCfo · (662) 459-7119
Enumeration DateMay 5, 2016
Last NPPES UpdateJanuary 14, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
NPI 1548616832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

102 PROFESSIONAL PL, Greenwood, MS 38930

Other Names 1

Doing Business AsGreenwood Primary Care Clinic

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.

Internal Medicine (Cardiovascular Disease)
102 PROFESSIONAL PL
GREENWOOD, MS 38930
Family Medicine
102 PROFESSIONAL PL
GREENWOOD, MS 38930

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548616832, enumerated as an "organization" on May 05, 2016.

The provider is located at 102 PROFESSIONAL PL GREENWOOD, MS 38930 and the phone number is (662) 453-1852.

Clinic/Center with taxonomy code 261Q00000X.