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

Q: 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.

Q: What is Clifton Reed's specialty?

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

Q: 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 7 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.

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: August 09, 2026.

On this page

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 from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)