Internal Medicine Clinic of Clarksdale
NPI 1457554479 · Specialist · Clarksdale, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Internal Medicine Clinic of Clarksdale is a Specialist organization in Clarksdale, MS (NPI 1457554479).
Provider details
- NPI number
- 1457554479
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sandra Blount, Office Manager(662) 624-5481
- License
- 16074 (MS)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 785 Ohio Ave Ste 2bClarksdale, MS 38614-6216Phone: (662) 624-5481
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2019-01-14
Frequently asked questions
- What is Internal Medicine Clinic of Clarksdale's NPI number?
- Internal Medicine Clinic of Clarksdale's National Provider Identifier (NPI) is 1457554479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Internal Medicine Clinic of Clarksdale?
- Internal Medicine Clinic of Clarksdale is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Internal Medicine Clinic of Clarksdale located?
- Internal Medicine Clinic of Clarksdale's practice location on file with NPPES is 1967 Hospital Dr, Clarksdale, MS 38614-7203.
- What is Internal Medicine Clinic of Clarksdale's phone number?
- The practice phone number listed in the NPPES registry for Internal Medicine Clinic of Clarksdale is (662) 624-5481.
- Does Internal Medicine Clinic of Clarksdale accept Medicare?
- Internal Medicine Clinic of Clarksdale 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 Internal Medicine Clinic of Clarksdale?
- The authorized official listed on Internal Medicine Clinic of Clarksdale's NPPES record is Sandra Blount, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Internal Medicine Clinic of Clarksdale's NPI active?
- Yes — Internal Medicine Clinic of Clarksdale's NPI (1457554479) is active in the NPPES registry as of the last update on 2019-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.