Shaw Family Medical, LLC
NPI 1750642633 · Clinic/Center · Shaw, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shaw Family Medical, LLC is a Clinic/Center organization in Shaw, MS (NPI 1750642633).
Provider details
- NPI number
- 1750642633
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nora Gough-Davis, Partner(662) 754-3301
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
14 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
Other names (DBA / former)
- Doing business as
- Shaw Family Medical
Registry dates
- Enumerated
- 2012-06-06
- Last updated
- 2017-02-22
Frequently asked questions
- What is Shaw Family Medical, LLC's NPI number?
- Shaw Family Medical, LLC's National Provider Identifier (NPI) is 1750642633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shaw Family Medical, LLC?
- Shaw Family Medical, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shaw Family Medical, LLC located?
- Shaw Family Medical, LLC's practice location on file with NPPES is 112 W Peeler Ave, Shaw, MS 38773-8710.
- What is Shaw Family Medical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shaw Family Medical, LLC is (662) 754-3301.
- Does Shaw Family Medical, LLC accept Medicare?
- Shaw Family Medical, 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 Shaw Family Medical, LLC?
- The authorized official listed on Shaw Family Medical, LLC's NPPES record is Nora Gough-Davis, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shaw Family Medical, LLC's NPI active?
- Yes — Shaw Family Medical, LLC's NPI (1750642633) is active in the NPPES registry as of the last update on 2017-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.