SHAW FAMILY MEDICAL
NPI 1750642633
Clinic/Center in Shaw, MS
NPI Status: Active since June 06, 2012
Contact Information
112 W PEELER AVE
SHAW, MS
ZIP 38773
Phone: (662) 754-3301
Fax: (662) 754-3304
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 25D2042850
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 06-20-2026
About SHAW FAMILY MEDICAL
This page provides the complete NPI Profile along with additional information for Shaw Family Medical, a provider established in Shaw, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750642633 assigned on June 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Shaw Family Medical. The authorized official of this NPI record is Nora Gough-davis (Partner)
- NPI
- 1750642633
- Provider Legal Name
- SHAW FAMILY MEDICAL, LLC
- Other Organization Name
- SHAW FAMILY MEDICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 112 W PEELER AVE SHAW, MS 38773
- Location Phone
- (662) 754-3301
- Location Fax
- (662) 754-3304
- Mailing Address
- PO BOX 299 SHAW, MS 38773
- Mailing Phone
- (662) 754-3301
- Mailing Fax
- (662) 754-3304
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-06-2012
- Last Update Date
- 02-22-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2042850
- Facility Type
- Practitioner Other
- Certificate Effective Date
- June 21, 2024
- Certificate Expiration Date
- June 20, 2026
- Laboratory Director
- NORA GOUGH-DAVIS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Shaw Family Medical in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1750642633, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750642633, enumerated as an "organization" on June 06, 2012.
The provider is located at 112 W PEELER AVE SHAW, MS 38773 and the phone number is (662) 754-3301.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
