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CANTON FAMILY CLINIC INC.
NPI 1902088453
Clinic/Center - Primary Care in Canton, MS

Active since November 27, 2007
120 E ACADEMY ST, CANTON, MS 39046(601) 859-2611 Get Directions Write a Review

NPPES record last updated: March 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canton Family Clinic Inc. NPPES

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

CANTON FAMILY CLINIC INC. (NPI 1902088453) is a healthcare organization registered as a primary care in Canton, Mississippi and active in the NPI registry since November 2007. The organization lists Jerry Lousteau, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1902088453
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCANTON FAMILY CLINIC INC.
Location Address120 E ACADEMY STCanton, MS 39046-4502
Mailing Address120 E Academy StCanton, MS 39046-4502
Phone(601) 859-2611
Organization SubpartNo
Authorized OfficialJerry LousteauClinic Administrator · (601) 859-2611
Enumeration DateNovember 27, 2007
Last NPPES UpdateMarch 3, 2010
✔ NPI 1902088453 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 · 09015552
120 E ACADEMY ST, Canton, MS 39046
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Other Identifiers 1

Medicare OSCAR/certification258952MS

Other Providers at the Same Location NPPES 2

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

MADISON HMA PHYSICIAN MANAGEMENT, LLC
Nurse Practitioner
120 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-2611
MADISON HMA PHYSICIAN MANAGEMENT, LLC
Family Medicine
120 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-8386

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 Canton Family Clinic Inc.'s NPI number?

The NPI number for Canton Family Clinic Inc. is 1902088453. It was assigned to this organization in the NPPES registry on November 27, 2007.

Where is Canton Family Clinic Inc. located?

Canton Family Clinic Inc. is located at 120 E Academy St, Canton, MS 39046. The listed phone number is (601) 859-2611.

What is Canton Family Clinic Inc.'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 Canton Family Clinic Inc. was last updated on March 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.