OrganizationActive
Good Shepherd Medical/Dental Clinic
NPI 1770158339 · Specialty Pharmacy · Laurel, MS
Good Shepherd Medical/Dental Clinic is a Specialty Pharmacy organization in Laurel, MS (NPI 1770158339).
Provider details
- NPI number
- 1770158339
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Wolgamott, Office Manager(601) 426-2001
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
207 S 11th Ave
Laurel, MS 39440-4314
Phone: (601) 426-2001
Fax: (601) 426-2002
Street-level locationGet directions
Mailing address
Po Box 2704
Laurel, MS 39442-2704
Other names (DBA / former)
- Doing business as
- Good Shepherd Clinic
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Frequently asked questions
- What is Good Shepherd Medical/Dental Clinic's NPI number?
- Good Shepherd Medical/Dental Clinic's National Provider Identifier (NPI) is 1770158339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Good Shepherd Medical/Dental Clinic?
- Good Shepherd Medical/Dental Clinic is classified in the NPPES registry as Specialty Pharmacy (Suppliers).
- Where is Good Shepherd Medical/Dental Clinic located?
- Good Shepherd Medical/Dental Clinic's practice location on file with NPPES is 207 S 11th Ave, Laurel, MS 39440-4314.
- What is Good Shepherd Medical/Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Good Shepherd Medical/Dental Clinic is (601) 426-2001.
- Who is the authorized official for Good Shepherd Medical/Dental Clinic?
- The authorized official listed on Good Shepherd Medical/Dental Clinic's NPPES record is David Wolgamott, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Good Shepherd Medical/Dental Clinic's NPI active?
- Yes — Good Shepherd Medical/Dental Clinic's NPI (1770158339) is active in the NPPES registry as of the last update on 2021-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.