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

Family Medical Clinic of Crystal Springs PLLC

Organization Family Medicine Physician · NPI 1205915998

Family Medical Clinic of Crystal Springs PLLC provides Family Medicine Physician services in Crystal Springs, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
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

104 W Railroad Ave S
Crystal Springs, MS 39059-2111
Phone: (601) 892-3063
Fax: (601) 892-3570
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 number1205915998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Ervin — President · (601) 892-3063
NPI enumeratedNovember 3, 2006
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address104 W Railroad Ave S, Crystal Springs, MS 39059-2111

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