Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Desoto Family Care Clinic, PLLC

Organization Family Medicine Physician · NPI 1972028843

Desoto Family Care Clinic, PLLC provides Family Medicine Physician services in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.

Licensed in
MS
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

346 Stateline Rd W
Southaven, MS 38671-1610
Phone: (662) 510-5353
Fax: (662) 510-0409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 901872 (MS)

Record details

NPI number1972028843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diosan Powell — Msn · (662) 510-5353
Other names Desoto Family Care; Desoto Family Care
NPI enumeratedAugust 11, 2017
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023
Mailing address5248 Garner Ln, Southaven, MS 38672-6016

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