DURANT PRIMARY CARE CLINIC (NPI# 1124100813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124100813 |
| Entity Type | Organization |
| Organization Name | DURANT PRIMARY CARE CLINIC |
| Practice Address |
638 Northwest Ave Durant MS 39063-3337 |
| Practice Telephone | 6626531002 |
| Practice Fax Number | 6626531038 |
| Mailing Telephone | 6626531002 |
| Mailing Fax Number | 6626531038 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | DR. ELIAS ABBOUD (OWNER) |
| Authorized Official Telephone | 6626531002 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09807861 | 05 | |
| MS | 01824892 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| Street Address |
638 NORTHWEST AVE |
| City | DURANT |
| State | MS |
| Zip Code | 39063-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306111984 | Peace Wellness Center, LLC | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2012-03-15 |
| 1831460591 | Peace Wellness Mobile Unit | Early Intervention Provider Agency | 638 Northwest Ave, Durant, MS 39063-3337 | 2012-01-25 |
| 1285930495 | Patients Choice Medical Center of Humphreys County, LLC | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433459 | S&m Medical Clinic | Clinic/Center | 403 Northwest Depot Street, Durant, MS 39063 | 2017-05-03 |
| 1649573833 | Sharon B Lofton | Nurse Practitioner | 33795 Ms-12, Durant, MS 39063 | 2010-12-10 |
| 1922317262 | James Myers Ferguson | Pharmacist | 33674 Hw 12, Durant, MS 39063 | 2010-10-05 |
| 1497073191 | Durant Public School District | Local Education Agency (LEA) | 65 West Madison Street, Durant, MS 39063 | 2010-05-06 |
| 1902923527 | Mallory Community Health | Clinic/Center | 33795 Highway 12 East, Durant, MS 39063 | 2007-03-26 |
| 1952333999 | Freds Stores of Tennessee Inc | Pharmacy | 33674 Highway 12, Durant, MS 39063-2602 | 2006-07-07 |
| 1033733951 | Bonita T Roby | Licensed Practical Nurse | 1762 Eddisville Rd, Durant, MS 39063-2910 | 2020-06-05 |
| 1497843676 | Wirt Fletcher Shrock Jr. | Family Medicine | 630 Northwest Ave, Durant, MS 39063-3337 | 2006-10-11 |
| 1295810901 | Holmes County Long Term Care Center - Durant | Skilled Nursing Facility | 15481 Bowling Green Rd, Durant, MS 39063-3565 | 2006-10-25 |
| 1134420284 | Durant Healthcare LLC | Skilled Nursing Facility | 15481 Bowling Green Rd, Durant, MS 39063-3565 | 2010-11-05 |
| Find all providers in zip 39063 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433459 | S&m Medical Clinic | Clinic/Center | 403 Northwest Depot Street, Durant, MS 39063 | 2017-05-03 |
| 1396173449 | Choctaw Nation of Oklahoma | Clinic/Center | 1801 Chukka Hina, Durant, OK 74701-3085 | 2013-10-29 |
| 1063849578 | Glover Primary Care Clinic | Clinic/Center | 403 Nw Depot St, Durant, MS 39063-3705 | 2013-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1720640899 | Home In The Woods Healthcare Clinic, LLC | Clinic/Center | 6572 County Road 514, Itta Bena, MS 38941-2746 | 2019-06-28 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DURANT PRIMARY CARE CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.