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

Shaw Community Care Clinic

Organization Family Medicine Physician · NPI 1194854208

Shaw Community Care Clinic provides Family Medicine Physician services in Shaw, Mississippi. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

112 Peeler Ave
Shaw, MS 38773
Phone: (662) 754-2060
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 number1194854208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Graves — Administrator · (662) 332-8848
NPI enumeratedMarch 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 5097, Greenville, MS 38704-5097

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