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MADISON CANTON MEDICAL CLINIC
NPI 1932144243
Clinic/Center - Rural Health in Canton, MS

Active since June 19, 2006
1171 HART ST, CANTON, MS 39046(601) 859-9888(601) 859-9966 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2021, Oct 29, 2020, Sep 2, 2020 and 2 more (5 updates tracked since 2019).

About Madison Canton Medical Clinic NPPES

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

MADISON CANTON MEDICAL CLINIC (NPI 1932144243) is a healthcare organization registered as a rural health in Canton, Mississippi and active in the NPI registry since June 2006. The organization lists Neelam Goel, Manager, as its authorized official.

NPPES Registry Identity

NPI1932144243
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePSP MEDICAL CLINIC LLC
Location Address1171 HART STCanton, MS 39046-4805
Mailing AddressP.o. Box 607Canton, MS 39157 · (601) 859-9888 · Fax (601) 859-9966
Phone(601) 859-9888
Fax(601) 859-9966
Organization SubpartNo
Authorized OfficialNeelam GoelManager · (601) 859-9888
Enumeration DateJune 19, 2006
Last NPPES UpdateApril 6, 20215 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1932144243 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 · 15405
1171 HART ST, Canton, MS 39046
Open in Google Maps ↗

Other Names 2

Doing Business AsMadison Canton Medical Clinic
Doing Business AsMagnolia Medical Clinics

Other Identifiers 1

Other25D1052898MS · Clia

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 ›

Other Providers at the Same Location NPPES 13

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

PATRICIA WHITE ROGERS LMSW
Counselor (Mental Health)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
LATOYA SOJOURNEY FNP
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
OKSHOON SCOTT FNP-C
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
MS. KIARA DIONTEA MERCHANT NP
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
RUTH A CHONG FNP
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
PSP MEDICAL CLINIC LLC
Clinic/Center (Rural Health)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
GOEL DIAGNOSTIC
Clinical Medical Laboratory
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
MRS. TONYA H. QUINN FNP
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888

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 Psp Medical Clinic LLC's NPI number?

The NPI number for Psp Medical Clinic LLC is 1932144243. It was assigned to this organization in the NPPES registry on June 19, 2006. The provider is doing business as Madison Canton Medical Clinic and Magnolia Medical Clinics.

Where is Psp Medical Clinic LLC located?

Psp Medical Clinic LLC is located at 1171 Hart St, Canton, MS 39046. The listed phone number is (601) 859-9888.

What is Psp Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Psp Medical Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Psp Medical Clinic LLC 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.

When was this NPI record last updated?

The NPPES record for Psp Medical Clinic LLC was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.