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EAST-END FAMILY MEDICAL CLINIC, LLC
NPI 1780450619
Clinic/Center - Rural Health in Cleveland, MS

Active since December 01, 2023
140 NORTH ST, CLEVELAND, MS 38732(662) 545-4674(662) 545-4715 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About East-end Family Medical Clinic, Llc NPPES

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

EAST-END FAMILY MEDICAL CLINIC, LLC (NPI 1780450619) is a healthcare organization registered as a rural health in Cleveland, Mississippi and active in the NPI registry since December 2023. The organization lists Cassandra Latasha Shepard, Co-owner/family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1780450619
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEAST-END FAMILY MEDICAL CLINIC, LLC
Location Address140 NORTH STCleveland, MS 38732-2744
Mailing Address140 North StCleveland, MS 38732-2744 · (662) 545-4674 · Fax (662) 545-4715
Phone(662) 545-4674
Fax(662) 545-4715
Organization SubpartNo
Authorized OfficialCassandra Latasha ShepardCo-owner/family Nurse Practitioner · (662) 721-8036
Enumeration DateDecember 1, 2023
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1780450619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
140 NORTH ST, Cleveland, MS 38732
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Other Providers at the Same Location NPPES 4

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

CASSANDRA LATASHA SHEPARD FNP
Nurse Practitioner
140 NORTH ST
CLEVELAND, MS 38732
Bolivar County (662) 545-4674
EAST-END FAMILY MEDICAL CLINIC, LLC
Clinic/Center (Primary Care)
140 NORTH ST
CLEVELAND, MS 38732
Bolivar County (662) 545-4674
CLEVELAND FOOT CLINIC INC
Podiatrist (Primary Podiatric Medicine)
140 NORTH ST
CLEVELAND, MS 38732
Bolivar County (662) 843-3668
CHARLES E HICKS
Podiatrist (Primary Podiatric Medicine)
140 NORTH ST
CLEVELAND, MS 38732
Bolivar County (662) 843-3668

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 East-End Family Medical Clinic, LLC's NPI number?

The NPI number for East-End Family Medical Clinic, LLC is 1780450619. It was assigned to this organization in the NPPES registry on December 1, 2023.

Where is East-End Family Medical Clinic, LLC located?

East-End Family Medical Clinic, LLC is located at 140 North St, Cleveland, MS 38732. The listed phone number is (662) 545-4674.

What is East-End Family Medical Clinic, LLC'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 East-End Family Medical Clinic, LLC was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.