EVERGREEN FAMILY MEDICAL CLINIC INC
NPI 1689860629
Clinic/Center - Rural Health in Nettleton, MS

Q: What is Evergreen Family Medical Clinic Inc's NPI number?

The NPI number for Evergreen Family Medical Clinic Inc is 1689860629. It was assigned to this organization in the NPPES registry on September 24, 2007.

Q: What is Evergreen Family Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since September 24, 2007

4929 HIGHWAY 371 S, NETTLETON, MS 38858(662) 963-9154(662) 963-9157 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

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About Evergreen Family Medical Clinic Inc NPPES

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

EVERGREEN FAMILY MEDICAL CLINIC INC (NPI 1689860629) is a healthcare organization registered as a rural health in Nettleton, Mississippi and active in the NPI registry since September 2007. The organization lists Cynthia Jeanesse Rushing, Cfnp/owner, as its authorized official.

NPPES Registry Identity

NPI1689860629

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameEVERGREEN FAMILY MEDICAL CLINIC INC

Location Address4929 HIGHWAY 371 SNettleton, MS 38858-6901

Mailing Address4929 Highway 371 SNettleton, MS 38858-6901 · (662) 963-9154 · Fax (662) 963-9157

Phone(662) 963-9154

Fax(662) 963-9157

Organization SubpartNo

Authorized OfficialCynthia Jeanesse RushingCfnp/owner · (662) 963-9154

Enumeration DateSeptember 24, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1689860629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

4929 HIGHWAY 371 S, Nettleton, MS 38858

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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.

EVERGREEN CLINI

Nurse Practitioner (Family)

4929 HIGHWAY 371 S
NETTLETON, MS 38858

Lee County (662) 963-9154

FAMILY CARE OF EVERGREEN, LLC

Nurse Practitioner

4929 HIGHWAY 371 S
NETTLETON, MS 38858

Lee County (662) 963-9154

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 Evergreen Family Medical Clinic Inc's NPI number?

The NPI number for Evergreen Family Medical Clinic Inc is 1689860629. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Evergreen Family Medical Clinic Inc located?

Evergreen Family Medical Clinic Inc is located at 4929 Highway 371 S, Nettleton, MS 38858. The listed phone number is (662) 963-9154.

What is Evergreen Family Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Evergreen Family Medical Clinic Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.