Mid-South Convenient Care, PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MID-SOUTH CONVENIENT CARE, PLLC

Practice address

1445 US Highway 51 Byp E Ste B
Dyersburg, TN 38024-2127

Phone

(731) 286-1900

Fax

(731) 286-1900

NPI assigned

Aug 16, 2017

Organization subpart

No

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

Authorized official

Name

Patricia Faye Owen

Title

Admin

Phone

(731) 286-1900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Diane Jowers, PA-C

  • Medical Physician Assistant
  • Dyersburg, TN
  • NPI 1154696607
  NPD

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1063938520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 US HIGHWAY 51 BYP E STE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242127",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 US HIGHWAY 51 BYP E STE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242127",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH CONVENIENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "731-286-1900"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memphis Vamc
• Linette Nicole Meredith, PH.D,CCC-SLP
• MH Health Care Services, PC
• MH Health Care Services, PC
• Michael E. Steuer, MD, PC
• Mid-South Retina Associates, LLC
• Karen Milliner, PSY.D
• Miracles Network Agency
• Janet S.. Monroe, R.N.
• Molly Moody, SLP

• Rural Health Clinic/Center in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.