Shannon Family Medical Clinic, LLC
NPI 1568633964 · Rural Health Clinic/Center · Shannon, MS
Shannon Family Medical Clinic, LLC is a Rural Health Clinic/Center organization in Shannon, MS (NPI 1568633964).
Provider details
- NPI number
- 1568633964
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Norris Doss, Owner(662) 995-2201
- License
- R819576 (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
18 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
- 2008-03-13
- Last updated
- 2018-06-25
Frequently asked questions
- What is Shannon Family Medical Clinic, LLC's NPI number?
- Shannon Family Medical Clinic, LLC's National Provider Identifier (NPI) is 1568633964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Family Medical Clinic, LLC?
- Shannon Family Medical Clinic, LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shannon Family Medical Clinic, LLC located?
- Shannon Family Medical Clinic, LLC's practice location on file with NPPES is 219 Broad St, Shannon, MS 38868.
- What is Shannon Family Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shannon Family Medical Clinic, LLC is (662) 995-2201.
- Who is the authorized official for Shannon Family Medical Clinic, LLC?
- The authorized official listed on Shannon Family Medical Clinic, LLC's NPPES record is Norris Doss, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Family Medical Clinic, LLC's NPI active?
- Yes — Shannon Family Medical Clinic, LLC's NPI (1568633964) is active in the NPPES registry as of the last update on 2018-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.