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COTTON PLANT FAMILY CLINIC
NPI 1891911186
Clinic/Center - Rural Health in Blue Mountain, MS

Active since April 17, 2007
100 COUNTY ROAD 714, BLUE MOUNTAIN, MS 38610(662) 538-4111(662) 538-4128 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cotton Plant Family Clinic NPPES

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

COTTON PLANT FAMILY CLINIC (NPI 1891911186) is a healthcare organization registered as a rural health in Blue Mountain, Mississippi and active in the NPI registry since April 2007. The organization lists Phyllis G Koonce, Owner Sole Provider, as its authorized official.

NPPES Registry Identity

NPI1891911186
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePHYLLIS G KOONCE
Location Address100 COUNTY ROAD 714Blue Mountain, MS 38610-9743
Mailing Address100 County Road 714Blue Mountain, MS 38610-9743 · (662) 538-4111 · Fax (662) 538-4128
Phone(662) 538-4111
Fax(662) 538-4128
Organization SubpartNo
Authorized OfficialPhyllis G KoonceOwner Sole Provider · (662) 538-4111
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 7, 2008
✔ NPI 1891911186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MS · R125960
100 COUNTY ROAD 714, Blue Mountain, MS 38610
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Other Names 1

Doing Business AsCotton Plant Family Clinic

Other Identifiers 3

Medicaid06577891MS
Medicare UPINS34270MS
Medicare ID-Type Unspecified258973MS

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.

PHYLLIS GAIL KOONCE CFNP
Nurse Practitioner (Family)
100 COUNTY ROAD 714
BLUE MOUNTAIN, MS 38610
Tippah County (662) 538-4111
COTTON PLANT CLINIC
Clinic/Center (Rural Health)
100 COUNTY ROAD 714
BLUE MOUNTAIN, MS 38610
Tippah County (662) 538-4111
FAMILY CLINIC OF COTTON PLANT, LLC
Clinic/Center (Rural Health)
100 COUNTY ROAD 714
BLUE MOUNTAIN, MS 38610
Tippah County (662) 538-4111

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 Phyllis G Koonce's NPI number?

The NPI number for Phyllis G Koonce is 1891911186. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Cotton Plant Family Clinic.

Where is Phyllis G Koonce located?

Phyllis G Koonce is located at 100 County Road 714, Blue Mountain, MS 38610. The listed phone number is (662) 538-4111.

What is Phyllis G Koonce'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 Phyllis G Koonce was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.