NPI 1508984436 · live from the CMS NPI Registry
Clarksdale Hma
Internal Medicine, Gastroenterology in Clarksdale, MS. National Provider Identifier 1508984436, active.
NPI record
| NPI | 1508984436 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 785 Ohio Ave, Suite 2f, Clarksdale, MS 38614 |
| Practice phone | 662-621-5081 |
| Mailing address | 580 Friars Point Rd, Clarksdale, MS 38614 |
| Enumerated | March 27, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Ann Nowell, Physician Practice Manager |
| Other names | Northwest Mississippi Regional Medical Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.