OrganizationActive
Shannon Family Medical Clinic, LLC
NPI 1568633964 · Rural Health Clinic/Center · Shannon, MS
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
Detailed profile(87/100 index)
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
219 Broad St
Shannon, MS 38868
Phone: (662) 995-2201
Fax: (662) 995-2202
Street-level locationGet directions
Mailing address
219 Broad St
Shannon, MS 38868-9301
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 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.