OrganizationActive
Canton Family Clinic Inc.
NPI 1902088453 · Primary Care Clinic/Center · Canton, MS
Provider details
- NPI number
- 1902088453
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Lousteau, Clinic Administrator(601) 859-2611
- License
- 09015552 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 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
120 E Academy St
Canton, MS 39046-4502
Phone: (601) 859-2611
Street-level locationGet directions
Mailing address
120 E Academy St
Canton, MS 39046-4502
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2010-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.