Organization Active NPI

First Choice Urgent Care LLC

  • Primary Care Clinic/Center
  • Collierville, TN
National Provider Identifier
1023328978
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
12976 Issued in TN
Legal business name
FIRST CHOICE URGENT CARE LLC
Practice address
472 W Poplar Ave Ste 201
Collierville, TN 38017-2538
Phone
(901) 854-5771
Fax
(901) 854-5774
NPI assigned
Oct 13, 2010
Last updated
Oct 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Christy Lucas, FNPNPI 1457529661
Title
Owner
Phone
(731) 225-6387

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
Primary Care Clinic/Center 261QP2300X 12976 TN Primary

Addresses

Primary practice location

472 W Poplar Ave Ste 201
Collierville, TN 38017-2538

Mailing address

472 W Poplar Ave Ste 201
Collierville, TN 38017-2538
Phone (901) 854-5771

Other identifiers 2

IdentifierTypeStateIssuer
1457529661OtherTNNPI
1952342586OtherTNNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110921000563 TN Part B Supplier - Clinic/Group Practice 2466623558 Receives reassigned benefits from 11 practitioners
Practice locations: Collierville, TN

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
44D2043987First Choice Urgent Care, LLC472 West Poplar Ave, Suite 201, Collierville, TN 38017Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory

Locations

342 New Byhalia Rd
Ste 2
Collierville, TN 38017
Phone (901) 854-5771

472 W Poplar Ave
Ste 100
Collierville, TN 38017
Phone (901) 854-5771

472 W Poplar Ave
Ste 201
Collierville, TN 38017
Phone (901) 854-5771

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26685/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1023328978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 W POPLAR AVE STE 201",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172538",
            "telephone_number": "901-854-5771",
            "fax_number": "901-854-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 W POPLAR AVE STE 201",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172538",
            "telephone_number": "901-854-5771",
            "fax_number": "901-854-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-225-6387",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "12976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457529661",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952342586",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.