Organization · Type 2 NPI

Choctaw Regional Medical Center

Family Medicine Physician · Ackerman, MS

NPI number 1235547878 Active

Practice location

64 N Louisville St
Ackerman, MS 39735-9217

Call (662) 285-9050 Map

Mailing address

8613 Ms Highway 12
Ackerman, MS 39735-8917

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Ackerman

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NPI record

NPI: 1235547878
Entity type: Organization (Type 2)
Issued: Jul 28, 2014
Last updated: May 28, 2025
Status: Active

Other names

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Choctaw Medical Clinic of Ackerman · doing business as
Choctaw Medical Clinic of Ackerman · doing business as

Authorized official

Susan Hollingsworth
Administrator & Credentialing
(662) 285-9460

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235547878

Choctaw Regional Medical Center's National Provider Identifier is 1235547878, issued on Jul 28, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ackerman, MS. The record was last updated on May 28, 2025.