Rapid Track Urgent Care LLC
Organization Active NPI Urgent Care Clinic/Center · Grenada, MS
NPI 1003529652 · NPPES record last updated Oct 3, 2023
Key facts
- NPI
- 1003529652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- RAPID TRACK URGENT CARE LLC
- Practice address
- 1201 Sunset Dr
Grenada, MS 38901-4063 - Phone
- (662) 417-2577
- Fax
- (662) 442-2350
- NPI assigned
- Dec 28, 2022
- Organization subpart
- No
Authorized official
- Name
- Mrs. Audrey Leann Williamson, FNP-C
- Title
- FNP
- Phone
- (662) 417-2577
Practitioners 13
-
Audrey Leann Williamson, NP-C
-
Alison Campbell, FNP-C
-
Cassi Carter, RN, FNP-C
-
Cody Elizabeth Field, FNP-C
-
Laura Hill Flippin, MSN, FNP-C
-
Allyson N. Hays, FNP-C
-
Ramona Brooke Turner, FNP-BC
-
Alicia Miller, FNP-C
-
Mary Vaughn, DNP, FNP-C, PMHNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2299098 | Rapid Track Urgent Care LLC | Compliance | Sep 11, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240206002025 | MS | Part B Supplier - Clinic/Group Practice | 8820431943 |
Receives reassigned benefits from 13 practitioners Practice locations: Grenada, MS |
National Provider Directory
Locations
1201 Sunset Dr
Grenada, MS 38901
Phone (662) 222-1070
405A N Applegate St
Winona, MS 38967
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1201 Sunset Dr
Grenada, MS 38901-4063
Mailing address
1201 Sunset Dr
Grenada, MS 38901-4063
Phone (662) 417-2577
Other names
- RAPID TRACK URGENT CARE LLC
NPI Registry JSON
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696291200000",
"number": "1003529652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 SUNSET DR",
"city": "GRENADA",
"state": "MS",
"postal_code": "389014063",
"telephone_number": "662-417-2577",
"fax_number": "662-442-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SUNSET DR",
"city": "GRENADA",
"state": "MS",
"postal_code": "389014063",
"telephone_number": "662-417-2577",
"fax_number": "662-442-2350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAPID TRACK URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-28",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A",
"authorized_official_last_name": "WILLIAMSON",
"authorized_official_first_name": "AUDREY",
"authorized_official_middle_name": "LEANN",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "662-417-2577",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RAPID TRACK URGENT CARE LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RAPID TRACK URGENT CARE LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grenada, MS
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- Purposeful Therapy Solutions
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- Quick Care Clinic LLC
- Patricia Nell Ray
- RCG Mississippi, Inc.
- Richard Clyde Reid
- Resco Personal Care Services
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All providers in Grenada, MS · Urgent Care Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.