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WESTSIDE FAMILY MEDICAL CLINIC PLLC
NPI 1811234636
Clinic/Center - Primary Care in Sumner, MS

Active since January 14, 2013
2372 MS HIGHWAY 49 EAST, SUMNER, MS 38957(662) 375-9310(662) 375-9311 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Westside Family Medical Clinic Pllc NPPES

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

WESTSIDE FAMILY MEDICAL CLINIC PLLC (NPI 1811234636) is a healthcare organization registered as a primary care in Sumner, Mississippi and active in the NPI registry since January 2013. The organization lists Robert Larry Tucker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811234636
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWESTSIDE FAMILY MEDICAL CLINIC PLLC
Location Address2372 MS HIGHWAY 49 EASTSumner, MS 38957
Mailing Address2372 Highway 49 EastSumner, MS 38957 · (662) 375-9310 · Fax (662) 375-9311
Phone(662) 375-9310
Fax(662) 375-9311
Organization SubpartNo
Authorized OfficialRobert Larry TuckerCeo · (662) 375-9810
Enumeration DateJanuary 14, 2013
Last NPPES UpdateApril 2, 2013
✔ NPI 1811234636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · R853452
2372 MS HIGHWAY 49 EAST, Sumner, MS 38957
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Other Identifiers 2

Medicare UPIN500000773MS
Medicaid0123085MS

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 Westside Family Medical Clinic PLLC's NPI number?

The NPI number for Westside Family Medical Clinic PLLC is 1811234636. It was assigned to this organization in the NPPES registry on January 14, 2013.

Where is Westside Family Medical Clinic PLLC located?

Westside Family Medical Clinic PLLC is located at 2372 Ms Highway 49 East, Sumner, MS 38957. The listed phone number is (662) 375-9310.

What is Westside Family Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Westside Family Medical Clinic PLLC was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.