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

Greenwood Comprehensive Medical Clinic

Organization Family Medicine Physician · NPI 1225172562

Greenwood Comprehensive Medical Clinic provides Family Medicine Physician services in Greenwood, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
Specialties on file
2

Practice location Address checks out

517 Highway 82 W
Greenwood, MS 38930-5030
Phone: (662) 455-6767
Fax: (662) 455-1774
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 10298 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 10035 (MS)

Record details

NPI number1225172562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valencia Martin — Vice President · (662) 455-6767
NPI enumeratedFebruary 19, 2007
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing addressPo Box 1179, Greenwood, MS 38935-1179

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