Reservoir Family Medical Clinic, PA
NPI 1770929713 · Family Medicine Physician · Flowood, MS
Reservoir Family Medical Clinic, PA is a Family Medicine Physician organization in Flowood, MS (NPI 1770929713).
Provider details
- NPI number
- 1770929713
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Crenshaw, Owner/Physican(601) 992-6511
- License
- 09099 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2013-05-17
- Last updated
- 2013-05-29
Frequently asked questions
- What is Reservoir Family Medical Clinic, PA's NPI number?
- Reservoir Family Medical Clinic, PA's National Provider Identifier (NPI) is 1770929713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reservoir Family Medical Clinic, PA?
- Reservoir Family Medical Clinic, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Reservoir Family Medical Clinic, PA located?
- Reservoir Family Medical Clinic, PA's practice location on file with NPPES is 1679 Old Fannin Rd Ste E, Flowood, MS 39232-8101.
- What is Reservoir Family Medical Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Reservoir Family Medical Clinic, PA is (601) 992-6511.
- Who is the authorized official for Reservoir Family Medical Clinic, PA?
- The authorized official listed on Reservoir Family Medical Clinic, PA's NPPES record is Charles Crenshaw, Owner/Physican. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reservoir Family Medical Clinic, PA's NPI active?
- Yes — Reservoir Family Medical Clinic, PA's NPI (1770929713) is active in the NPPES registry as of the last update on 2013-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.