GOLDEN TRIANGLE URGENT CARE, LLC (NPI# 1346592045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346592045 |
| Entity Type | Organization |
| Organization Name | GOLDEN TRIANGLE URGENT CARE, LLC |
| Practice Address |
500 Russell Str Suite 3 Starkville MS 39759-2113 |
| Mailing Address |
30 Burton Hills Blvd Suite 175 Nashville TN 37215-6403 |
| Practice Telephone | 6623242244 |
| Practice Fax Number | 6153016550 |
| Mailing Telephone | 6159882014 |
| Mailing Fax Number | 6153016550 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2015-08-12 |
| Authorized Official Name | HEATHER NICOLE PUTMAN (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 6159882014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04351854 | 05 |
| Street Address |
500 RUSSELL STR SUITE 3 |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377226 | Wecare Health Clinic | Nurse Practitioner | 823 Highway 12 W Ste C, Starkville, MS 39759-3593 | 2019-07-09 |
| 1689131401 | Amy Morgan Cain | Nurse Practitioner | 200 White Oak Ln, Starkville, MS 39759-6663 | 2019-02-28 |
| 1740744572 | Klancie Allison Smith | Nurse Practitioner | 1233 Steele Rd, Starkville, MS 39759-4723 | 2019-01-25 |
| 1316196850 | Johnnie Susan Cooper Wijewardane | Nurse Practitioner | 1430 Cedar Creek Ln, Starkville, MS 39759-8488 | 2008-09-09 |
| 1114111978 | Meredith Patton Hartline | Nurse Practitioner | 500 Russell St Ste 3, Starkville, MS 39759-5411 | 2007-09-04 |
| 1992881882 | Bethany Lee Greco | Nurse Practitioner | 732 Whitfield Street, Mississippi State Board of Health District Iv, Starkville, MS 39759 | 2006-10-31 |
| 1508802208 | Courtney Gibson Nickels | Nurse Practitioner | 1207 Highway 182 W, Starkville, MS 39759-9820 | 2006-06-21 |
| 1679174403 | Kimberlin Cotton | Nurse Practitioner | 401 Hospital Rd, Starkville, MS 39759-2164 | 2020-11-06 |
| 1497389902 | Lydia Ruth Rice | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2020-02-24 |
| 1376180992 | Catherine Eldridge | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2019-12-02 |
| Find all providers in STARKVILLE | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
Please comment or provide details below to improve the information on GOLDEN TRIANGLE URGENT CARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.