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DEMETRI W MARSHALL M.D.
NPI 1740385103
Family Medicine in Port Gibson, MS

Active since September 13, 2006
2045 HIGHWAY 61 NORTH, PORT GIBSON, MS 39150(601) 437-3050(601) 437-3051 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demetri W Marshall M.d. NPPES

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

DEMETRI W MARSHALL M.D. (NPI 1740385103) is an individual family medicine provider in Port Gibson, Mississippi, licensed in Mississippi (10558) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1740385103
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEMETRI W MARSHALLCredential: M.D.
Location Address2045 HIGHWAY 61 NORTHPort Gibson, MS 39150-4262
Mailing AddressP. O. Box 741Port Gibson, MS 39150-4262 · (601) 437-3050 · Fax (601) 437-3051
Phone(601) 437-3050
Fax(601) 437-3051
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740385103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 10558
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.
2045 HIGHWAY 61 NORTH, Port Gibson, MS 39150
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Other Identifiers 2

Medicaid0017759MS
Medicare UPINC72547

Other Providers at the Same Location NPPES 3

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

CLAIBORNE COUNTY FAMILY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
2045 HIGHWAY 61 NORTH
PORT GIBSON, MS 39150
Claiborne County (601) 437-3049
KEITH D BISHOP DDS
Dentist (General Practice)
2045 HIGHWAY 61 NORTH
PORT GIBSON, MS 39150
Claiborne County (601) 437-3050
MARVELL SPEARS FNP
Nurse Practitioner (Family)
2045 HIGHWAY 61 NORTH
PORT GIBSON, MS 39150
Claiborne County (601) 437-3050

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 Demetri Marshall's NPI number?

The NPI number for Demetri Marshall is 1740385103. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Demetri Marshall located?

Demetri Marshall practices at 2045 Highway 61 North, Port Gibson, MS 39150. The listed phone number is (601) 437-3050.

What is Demetri Marshall'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 Demetri Marshall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.