DESOTO FAMILY CARE CLINIC, PLLC
NPI 1972028843
Family Medicine in Southaven, MS
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
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Desoto Family Care Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Desoto Family Care Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Desoto Family Care Clinic, PLLC enrolled in Medicare?
Yes. Desoto Family Care Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Desoto Family Care Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Desoto Family Care Clinic, PLLC. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Desoto Family Care Clinic, PLLC accept?
Health plans from Cigna Healthcare and Molina Healthcare 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.
# Desoto Family Care Clinic, Pllc · NPI 1972028843
Family Medicine organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since August 11, 2017.
## Identity
- **NPI:** 1972028843 (Entity type: Organization)
- **Enumerated:** August 11, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Diosan Powell, MSN
## Practice location
- **Address:** 346 STATELINE RD W, Southaven, MS 38671-1610
- **Phone:** (662) 510-5353 · **Fax:** (662) 510-0409
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972028843) · Data from the CMS NPPES public registry.