OrganizationActive
White Oak Family Medicine Clinic, LLC
NPI 1073759502 · Primary Care Clinic/Center · Oxford, MS
Provider details
- NPI number
- 1073759502
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erik Richardson, Owner(662) 236-1927
- License
- 17356 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 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
1190 S 18th Street Ext
Oxford, MS 38655-5378
Phone: (662) 236-1927
Fax: (662) 236-3727
Approximate (ZIP-level) locationGet directions
Mailing address
1190 S 18th Street Ext
Oxford, MS 38655-5378
Registry dates
- Enumerated
- 2009-01-06
- Last updated
- 2010-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.