More Convenient Care Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R656046 Issued in MS

Legal business name

MORE CONVENIENT CARE CENTER LLC

Practice address

4612 Medgar Evers Blvd
Suite 10
Jackson, MS 39213-5205

Phone

(601) 321-9104

Fax

(601) 321-9138

NPI assigned

Oct 7, 2009

Organization subpart

Yes

Parent organization

MORE CONVENIENT CARE CENTER LLCAs reported in NPPES

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

Authorized official

Name

Ms. Mary Lynn Hilliard, APRN, BC, FNP

Title

Family Nurse Practitioner

Phone

(601) 209-8432

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• More Health Care LLC Doing business as

Locations

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1053646190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 68483",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39286",
            "telephone_number": "601-321-9104",
            "fax_number": "601-321-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 MEDGAR EVERS BLVD",
            "address_2": "SUITE 10",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135205",
            "telephone_number": "601-321-9104",
            "fax_number": "601-321-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORE CONVENIENT CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORE CONVENIENT CARE CENTER LLC",
        "enumeration_date": "2009-10-07",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-209-8432",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, BC, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "R656046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "500001874",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115980",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "More Health Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Patrick Moore, RPT
• Walter Thomas Moore, MD
• Mooreco
• Carolina Morales
• Catherine Coleman Mordecai, FNP-C
• Eliseu Da Cruz Moreira Jr., MD
• Tiffany N. Moreira, RPH
• Renae Morel, FNP
• Amanda Lynn Morellato, DDS
• John Morellato

• Primary Care Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.