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CLIFTON DEWAYNE REED
NPI 1912480328
Nurse Practitioner - Family in Shaw, MS

Active since September 11, 2018PECOS Enrolled
112 W PEELER AVE, SHAW, MS 38773(662) 754-3304(662) 754-3301 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clifton Dewayne Reed NPPES

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

CLIFTON DEWAYNE REED (NPI 1912480328) is an individual family provider in Shaw, Mississippi, licensed in Mississippi (R877471) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Northwest Missississippi Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912480328
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCLIFTON DEWAYNE REED
Location Address112 W PEELER AVEShaw, MS 38773-8710
Mailing Address112 W Peeler AveShaw, MS 38773-8710 · (662) 754-3304 · Fax (662) 754-3301
Phone(662) 754-3304
Fax(662) 754-3301
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 11, 2018
✔ NPI 1912480328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R877471
112 W PEELER AVE, Shaw, MS 38773
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clifton Dewayne Reed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406191865
PECOS Enrollment IDI20181213001255
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Clifton Reed reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shaw Family Medical, LLC
0.1 mi
Clinic/Center
112 W PEELER AVE
Shaw, MS 38773
  • Reassigned Medicare billing, Mississippi enrollment
  • 11 clinicians in this Medicare group
NPI 1750642633 (662) 754-3301
North Sunflower Medical Center
10 mi
Family Medicine
810 E SUNFLOWER RD, SUITE 100-A
Cleveland, MS 38732
  • Reassigned Medicare billing, Mississippi enrollment
  • 109 clinicians in this Medicare group
NPI 1891705133 (662) 843-3606
Thrive Medical & Wellness, PLLC
43 mi
Family
1800 CHERYL ST
Clarksdale, MS 38614
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1811888027 (662) 721-0050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Missississippi Regional Medical Center

Acute Care Hospitals · Clarksdale, MS
OwnershipProprietary
CMS Certification Number250042
Location1970 Hospital DriveClarksdale, MS 38614 · Coahoma County
Emergency services Birthing friendly

North Sunflower Medical Center Cah

Critical Access Hospitals · Ruleville, MS
OwnershipGovernment - Local
CMS Certification Number251318
Location840 North Oak AvenueRuleville, MS 38771 · Sunflower County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

TERESA WILSON NP
Nurse Practitioner (Adult Health)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
KIMBERLY ROBINSON FNP-C
Nurse Practitioner (Primary Care)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
MRS. WILLIE MARY BOLDEN
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 745-6638
MRS. REGINA JONELLE EVANS FNP
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
NORA CECELIA GOUGH-DAVIS FNP
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
SHAW FAMILY MEDICAL, LLC
Clinic/Center
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
KIM DAVIS NP
Family Medicine
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301

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 Clifton Reed's NPI number?

The NPI number for Clifton Reed is 1912480328. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Clifton Reed located?

Clifton Reed practices at 112 W Peeler Ave, Shaw, MS 38773. The listed phone number is (662) 754-3304.

What is Clifton Reed's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Clifton Reed enrolled in Medicare?

Yes. Clifton Reed is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clifton Reed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clifton Reed reassigns Medicare benefits to 3 organizations: Shaw Family Medical, LLC (Shaw, MS), North Sunflower Medical Center (Cleveland, MS) and Thrive Medical & Wellness, PLLC (Clarksdale, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clifton Reed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clifton Reed accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Clifton Reed as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Clifton Reed affiliated with any hospitals?

According to CMS data, Clifton Reed is affiliated with Northwest Missississippi Regional Medical Center and North Sunflower Medical Center Cah.

When was this NPI record last updated?

The NPPES record for Clifton Reed was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.