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

Greenwood Comprehensive Medical Clinic

Organization Family Medicine Physician · NPI 1225172562

Greenwood Comprehensive Medical Clinic is a Family Medicine Physician in Greenwood, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
Specialties on file
2

Practice location Address checks out

517 Highway 82 W
Greenwood, MS 38930-5030
Phone: (662) 455-6767
Fax: (662) 455-1774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10298 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 10035 (MS)

Record details

NPI number1225172562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valencia Martin — Vice President · (662) 455-6767
NPI enumeratedFebruary 19, 2007
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing addressPo Box 1179, Greenwood, MS 38935-1179

Other providers in Greenwood