Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Off Main Street Medical PLLC

Organization Family Nurse Practitioner · NPI 1023408614

Off Main Street Medical PLLC provides Family Nurse Practitioner services in Taylorsville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.

Licensed in
MS
In the registry since
2015
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

336 Eureka St
Taylorsville, MS 39168-0291
Phone: (601) 785-4322
Fax: (601) 785-6681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R764114 (MS)

Record details

NPI number1023408614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Scruggs — Owner · (601) 785-4322
NPI enumeratedFebruary 3, 2015
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021
Mailing addressPo Box 291, 336 Eureka Street, Taylorsville, MS 39168-0291

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