Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caledonia Community Clinic, LLC

Organization Family Medicine Physician · NPI 1619552130

Caledonia Community Clinic, LLC is a Family Medicine Physician in Caledonia, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

171 S St
Caledonia, MS 39740-8587
Phone: (662) 855-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1619552130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Hudson — Fnp-C · (662) 251-3451
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing addressPo Box 217, Caledonia, MS 39740-0217

Other providers in Caledonia