Desoto Family Care Clinic, PLLC
NPI 1972028843ActiveOrganization· Family Medicine· Southaven, MS
Family Medicine in Southaven, Mississippi, registered in NPPES in August 2017. The authorized official on file is Diosan Mangubat Powell, Msn. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972028843 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2017 |
| Last updated in NPPES | Mar 10, 2023 |
| Certified by provider | Mar 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 901872 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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