OrganizationActive
Gough'S Family and Pediatric Clinic
NPI 1528306222 · Primary Care Clinic/Center · Drew, MS
Provider details
- NPI number
- 1528306222
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Gough, Owner/Physician(662) 745-6638
- License
- 06639 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Registry dates
- Enumerated
- 2013-01-30
- Last updated
- 2013-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.