OrganizationActive
Shaw Family Medical, LLC
NPI 1043665532 · Family Nurse Practitioner · Drew, MS
Provider details
- NPI number
- 1043665532
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Shaw Family Medical, LLC
- Organization subpart
- Yes
- Authorized official
- Nora Gough-Davis, Owner(662) 745-6638
- License
- R872155 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% 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
189 N Main St
Drew, MS 38737-3146
Phone: (662) 745-6638
Fax: (662) 745-8480
Street-level locationGet directions
Mailing address
Po Box 68
Drew, MS 38737-0068
Other names (DBA / former)
- Doing business as
- Gough'S Family Medical Clinic
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2016-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.