Healthcare Provider Details

I. General information

NPI: 1861307837
Provider Name (Legal Business Name): MOBILEMED MS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 JACKSON AVE W STE 201
OXFORD MS
38655-5624
US

IV. Provider business mailing address

2304 JACKSON AVE W STE 201
OXFORD MS
38655-5624
US

V. Phone/Fax

Practice location:
  • Phone: 662-597-7433
  • Fax: 662-214-6073
Mailing address:
  • Phone: 662-597-7433
  • Fax: 662-214-6073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM P CLAY
Title or Position: OWNER/MANAGING MEMBER
Credential: FNP-C
Phone: 662-597-7433