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

Stanford Clinic LLC

Organization General Practice Physician · NPI 1225979826

Stanford Clinic LLC is a General Practice Physician in Lucedale, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
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

5192 Main St
Lucedale, MS 39452-6771
Phone: (601) 947-0250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1225979826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casey Stanford — Owner/Md · (601) 947-0250
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address5192 Main St, Lucedale, MS 39452-6771

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