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

Family Medical Clinic of North MS Inc

Organization Family Medicine Physician · NPI 1134174154

Family Medical Clinic of North MS Inc is a Family Medicine Physician in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3451 Goodman Rd Ste 115
Southaven, MS 38672-9304
Phone: (662) 890-5555
Fax: (662) 890-8899
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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 (MS)

Record details

NPI number1134174154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Skinner — Vice President · (662) 850-5555
NPI enumeratedMay 24, 2006
Last updated in NPPESFebruary 6, 2008
Mailing address3451 Goodman Rd, Ste 115, Southaven, MS 38672-9304

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