CONVENIENT CARE MEDICAL CLINIC LLC (NPI# 1396127221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396127221 |
| Entity Type | Organization |
| Organization Name | CONVENIENT CARE MEDICAL CLINIC LLC |
| Practice Address |
516b Lincoln Rd Columbus MS 39705-2226 |
| Mailing Address |
Po Box 9051 Columbus MS 39705-0015 |
| Practice Telephone | 6622513565 |
| Mailing Telephone | 6622513565 |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | TERESA MARIE SIMS (OWNER/MANAGER) |
| Authorized Official Telephone | 6622513565 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MS | Ambulatory Health Care Facilities |
| Street Address |
516B LINCOLN RD |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730202854 | Golden Triangle Neurology Clinic, Pllc | Specialist | 516b Lincoln Rd, Columbus, MS 39705-2226 | 2007-04-06 |
| 1700499241 | Mallory Jones | Nurse Practitioner | 516b Lincoln Rd, Columbus, MS 39705-2226 | 2020-08-25 |
| 1184173247 | Michelle Denise Moore | Nurse Practitioner | 516b Lincoln Rd, Columbus, MS 39705-2226 | 2016-09-29 |
| 1851765226 | Sara Cox | Nurse Practitioner | 516b Lincoln Rd, Columbus, MS 39705-2226 | 2015-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477175768 | Virtue Wellness, LLC | Clinic/Center | 7660 Silver Fox Dr, Columbus, OH 43235-1835 | 2020-05-11 |
| 1376025890 | Columbus Neighborhood Health Center, Inc. Dba Primaryone Health | Clinic/Center | 1251 Bryden Rd, Columbus, OH 43205-2037 | 2018-08-31 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1639695778 | All Seasons Medical Clinic, Inc. | Clinic/Center | 699 Harrisburg Pike Unit A-b, Columbus, OH 43223-2141 | 2017-08-21 |
| 1366996035 | Wecare Tlc - Dorel Health and Wellness | Clinic/Center | 2525 State St, Columbus, IN 47201-7443 | 2016-08-10 |
| 1467906701 | Careatc-city of Columbus-14249-065 | Clinic/Center | 2000 10th Ave Ste 410, Columbus, GA 31901-3714 | 2016-08-03 |
| 1023435872 | Delta Medical Care, LLC | Clinic/Center | 2934 S High St, Columbus, OH 43207-3616 | 2014-03-18 |
| 1215276175 | Dutch Medical Clinics, Inc | Clinic/Center | 3654-b New Hope Rd, Columbus, MS 39702 | 2013-02-12 |
| 1275850372 | Workplace Occupational & Wellness, Inc. | Clinic/Center | 2329 N Marr Rd, Columbus, IN 47203-3445 | 2010-04-28 |
| 1346420668 | His Grace Medical LLC | Clinic/Center | 6055 Cleveland Ave, Columbus, OH 43231-2256 | 2007-11-05 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on CONVENIENT CARE MEDICAL CLINIC 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.