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DESOTO FAMILY CARE CLINIC, PLLC
NPI 1972028843
Family Medicine in Southaven, MS

Active since August 11, 2017
346 STATELINE RD W, SOUTHAVEN, MS 38671(662) 510-5353(662) 510-0409 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2023, Dec 28, 2018, Dec 8, 2017 and 1 more (4 updates tracked since 2017).

About Desoto Family Care Clinic, Pllc NPPES

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

DESOTO FAMILY CARE CLINIC, PLLC (NPI 1972028843), doing business as Desoto Family Care, is a healthcare organization registered as a family medicine in Southaven, Mississippi and active in the NPI registry since August 2017. The organization lists Diosan Mangubat Powell, Msn, as its authorized official.

NPPES Registry Identity

NPI1972028843
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDESOTO FAMILY CARE CLINIC, PLLC
Location Address346 STATELINE RD WSouthaven, MS 38671-1610
Mailing Address5248 Garner LnSouthaven, MS 38672-6016 · (662) 510-5353 · Fax (662) 510-0409
Phone(662) 510-5353
Fax(662) 510-0409
Organization SubpartNo
Authorized OfficialDiosan Mangubat PowellMsn · (662) 510-5353
Enumeration DateAugust 11, 2017
Last NPPES UpdateMarch 10, 20234 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
✔ NPI 1972028843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 901872
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
346 STATELINE RD W, Southaven, MS 38671
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Other Names 1

Former Legal Business NameDesoto Family Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 2

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

MRS. DIOSAN M POWELL FNP
Nurse Practitioner (Primary Care)
346 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 510-5353
MRS. THITIPORN SRIPRASERT WHALEY NURSE PRACTITIONER
Nurse Practitioner (Family)
346 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 510-5353

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 Desoto Family Care Clinic, PLLC's NPI number?

The NPI number for Desoto Family Care Clinic, PLLC is 1972028843. It was assigned to this organization in the NPPES registry on August 11, 2017. The provider was formerly known as Desoto Family Care.

Where is Desoto Family Care Clinic, PLLC located?

Desoto Family Care Clinic, PLLC is located at 346 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 510-5353.

What is Desoto Family Care Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Desoto Family Care Clinic, PLLC 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 1 other insurer list Desoto Family Care Clinic, PLLC 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 Desoto Family Care Clinic, PLLC was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.