OrganizationActive
Clarksdale Hma Physican Management, LLC
NPI 1063654721 · Rural Health Clinic/Center · Clarksdale, MS
Provider details
- NPI number
- 1063654721
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Clarksdale Hma Physician Management, LLC
- Organization subpart
- Yes
- Authorized official
- Miller Vance, Area Manager(662) 624-8000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
580 Friars Point Rd
Clarksdale, MS 38614-9734
Phone: (662) 624-4316
Fax: (662) 621-1151
Street-level locationGet directions
Mailing address
785 Ohio Ave
Clarksdale, MS 38614-6217
Other names (DBA / former)
- Doing business as
- Campbell Family Clinic
Registry dates
- Enumerated
- 2009-03-27
- Last updated
- 2013-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.