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

Shaw Community Care Clinic

Organization Family Medicine Physician · NPI 1194854208

Shaw Community Care Clinic is a Family Medicine Physician in Shaw, Mississippi. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

112 Peeler Ave
Shaw, MS 38773
Phone: (662) 754-2060
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1194854208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Graves — Administrator · (662) 332-8848
NPI enumeratedMarch 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 5097, Greenville, MS 38704-5097

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