Convenient Care Clinic, LLC
Organization Active NPI Rural Health Clinic/Center · Batesville, MS
NPI 1073246773 · NPPES record last updated Mar 13, 2025
Key facts
- NPI
- 1073246773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CONVENIENT CARE CLINIC, LLC
- Practice address
- 555 Highway 6 E
Batesville, MS 38606-3003 - Phone
- (662) 578-2030
- Fax
- (662) 578-2050
- NPI assigned
- Jul 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Stephanie Hicks
- Title
- Controller
- Phone
- (615) 988-2004
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 41
-
Saraka Chapman, NP
-
Alleda J Glasner, NP
-
Penny Marie Holley, FNP
-
Paul Franklin Nixon, FNP
-
Ariel Powell, NP
-
Cara Alexandria Dennis, DNP, APRN, FNP-C
-
Bonnie Elizabeth Ellzey, FNP-C
-
Krystle E Holliday, CFNP
-
Lindsay Nixon, MSN, APRN, FNP-C
-
Shaunta Lea Roane, APRN, NP
-
Regina Denise Groner, NURSE PRACTITIONER
-
Edwin Lee Linder, M.D.
-
Dawn Caprice Peery, NP-C
-
Linda L Troy, FNP
-
Aaron Ashley Amos, M.D.
-
Chastity A Barnette, CFNP
-
Kishana Renee Bell, FNP-C
-
Tina Gail Bryan, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Rural health clinic certification: CCN A53830
- Legal name
- CONVENIENT CARE CLINIC LLC
- Doing business as
- BAPTIST URGENT CARE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Nov 17, 2022
- Last certification
- Nov 17, 2022
- Ownership / control type
- 1B
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 30, 1999 in MS
- Enrollment address
- 555 Highway 6 E
Batesville, MS 38606-3003
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Convenient Care Clinic LLC |
5% Or Greater Direct Ownership Interest | Sep 12, 2012 | |
| Stephanie Hicks |
Corporate Director |
Dec 3, 2024 | |
| W-2 Managing Employee |
Dec 3, 2024 | ||
| Rudy L Blank |
Corporate Director |
Nov 7, 2016 | |
| Urgent Team Management of Mississippi |
5% Or Greater Direct Ownership Interest | Jun 1, 2012 | |
| Operational/Managerial Control | Jun 1, 2012 | ||
| Crystal Gibson |
W-2 Managing Employee |
Jun 6, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220725002208 | MS | Part a Provider - Rural Health Clinic | 1052587284 | Practice locations: Batesville, MS |
National Provider Directory
Locations
555 Highway 6 E
Ste 576
Batesville, MS 38606
Phone (662) 578-2030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
555 Highway 6 E
Batesville, MS 38606-3003
Mailing address
30 Burton Hills Blvd Ste 175
Nashville, TN 37215-6403
Phone (615) 864-8713
Other providers in Batesville, MS
- Michelle Cohen
- Anne J Cole
- Alexis Collier
- Companion Care Inspired
- Complete Hospice & Palliative Care
- Madison Wadswoth Coopwood
- Corkern Wellness Clinic
- Cornerstone Rehabilitation of Batesville Inc
- Chance Latham Crites
- Johnnie Cummings
All providers in Batesville, MS · Rural Health 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 Mar 13, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.