NPIMap

Organization Active NPI

Rapid Track Urgent Care LLC

  • Urgent Care Clinic/Center
  • Grenada, MS
National Provider Identifier
1003529652
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
RAPID TRACK URGENT CARE LLC
Doing business as
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
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Audrey Leann Williamson, FNP-CNPI 1447891692
Title
FNP
Phone
(662) 417-2577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

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 1

  • RAPID TRACK URGENT CARE LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240206002025 MS Part B Supplier - Clinic/Group Practice 8820431943 Receives reassigned benefits from 13 practitioners
Practice locations: Grenada, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2299098Rapid Track Urgent Care LLC1201 Sunset Drive, Grenada, MS 38901ComplianceSep 11, 2026

National Provider Directory

National Provider Directory

Locations

1201 Sunset Dr
Grenada, MS 38901
Phone (662) 222-1070

405A N Applegate St
Winona, MS 38967

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.