Psp Medical Clinic LLC
Psp Medical Clinic LLC is a healthcare organization registered as Rural Health Clinic/Center in Canton, MS, holding Type 2 (organization) NPI 1225320708 since 2011. The authorized official on file is Parvesh Goel, MD.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1225320708 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Psp Medical Clinic LLC |
| Other name | <Unavail> |
| Practice address | 1171 HART ST, Canton, MS, 39046 |
| Phone | 6018599888 |
| Fax | 6018599004 |
| Enumeration date | 2011-05-03 |
| Last updated in NPPES | 2024-02-06 |
Authorized official
| Name | Parvesh Goel |
|---|---|
| Title | MD |
| Phone | 6627463555 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | 15405 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06572715 | Medicaid | MS | — |
| 07228530 | Medicaid | MS | — |
| 00118231 | Medicaid | MS | — |
| 02679823 | Medicaid | MS | — |
| 09238061 | Medicaid | MS | — |
Copy-ready billing details
Provider: Psp Medical Clinic LLC NPI: 1225320708 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 1171 HART ST, Canton, MS, 39046
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619894607 | Lashonda Ward | Individual | Family Nurse Practitioner | Canton, MS |
| 1548219082 | Parvesh Goel | Individual | Internal Medicine Physician | Canton, MS |
| 1932144243 | Psp Medical Clinic LLC | Organization | Rural Health Clinic/Center | Canton, MS |
| 1639354418 | Phyllis Hammond | Individual | Clinical Social Worker | Canton, MS |
| 1235369208 | Goel Diagnostic | Organization | Clinical Medical Laboratory | Canton, MS |
| 1033490552 | Latoya Sojourney | Individual | Family Nurse Practitioner | Canton, MS |
| 1477949097 | Tonya Quinn | Individual | Family Nurse Practitioner | Canton, MS |
| 1073963187 | Okshoon Scott | Individual | Family Nurse Practitioner | Canton, MS |
Verify this record
Cross-check NPI 1225320708 against the authoritative CMS record: view Psp Medical Clinic LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Psp Medical Clinic LLC?
Who is the authorized official for Psp Medical Clinic LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-06.