Newsom Healthcare of Desoto County, LLC
NPI 1205243649 · Primary Care Clinic/Center · Horn Lake, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Newsom Healthcare of Desoto County, LLC is a Primary Care Clinic/Center organization in Horn Lake, MS (NPI 1205243649).
Provider details
- NPI number
- 1205243649
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandra Newsom, Owner/President(662) 393-8022
- License
- R852706 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2014-07-17
- Last updated
- 2014-07-22
Frequently asked questions
- What is Newsom Healthcare of Desoto County, LLC's NPI number?
- Newsom Healthcare of Desoto County, LLC's National Provider Identifier (NPI) is 1205243649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Newsom Healthcare of Desoto County, LLC?
- Newsom Healthcare of Desoto County, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Newsom Healthcare of Desoto County, LLC located?
- Newsom Healthcare of Desoto County, LLC's practice location on file with NPPES is 2906 Goodman Rd W, Horn Lake, MS 38637-1291.
- What is Newsom Healthcare of Desoto County, LLC's phone number?
- The practice phone number listed in the NPPES registry for Newsom Healthcare of Desoto County, LLC is (662) 393-8022.
- Does Newsom Healthcare of Desoto County, LLC accept Medicare?
- Newsom Healthcare of Desoto County, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Newsom Healthcare of Desoto County, LLC?
- The authorized official listed on Newsom Healthcare of Desoto County, LLC's NPPES record is Sandra Newsom, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Newsom Healthcare of Desoto County, LLC's NPI active?
- Yes — Newsom Healthcare of Desoto County, LLC's NPI (1205243649) is active in the NPPES registry as of the last update on 2014-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.