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

Desoto Family Medical Center

Organization Family Medicine Physician · NPI 1528150398

Desoto Family Medical Center provides Family Medicine Physician services in Southaven, Mississippi. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

75 Physician Ln
Southaven, MS 38671 Not confirmed with CMS for 17 years — call before visiting
Phone: (662) 393-7722
Fax: (662) 393-7756
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1528150398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Burnette — Financial Services Manager · (662) 280-6233
NPI enumeratedSeptember 29, 2006
Last updated in NPPESOctober 10, 2008
Mailing address75 Physician Lane, Southaven, MS 38671

Other providers in Southaven