IndividualActive
Shelia Black
NPI 1003392119 · Developmental Disabilities Clinic/Center · Greenville, MS
Provider details
- NPI number
- 1003392119
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
564 Cypress Ln Apt 26d
Greenville, MS 38701-7425
Phone: (662) 347-3616
Street-level locationGet directions
Mailing address
564 Cypress Ln Apt 26d
Greenville, MS 38701-7425
Registry dates
- Enumerated
- 2018-07-12
- Last updated
- 2018-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.