Active NPI
Choices Medical Services, PC
Doing business as CHOICES Carbondale Medical Services
- Gynecology Physician
- Carbondale, IL
National Provider Identifier
1255915286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- CHOICES MEDICAL SERVICES, PC
- Doing business as
- CHOICES Carbondale Medical Services
- Practice address
- 600 N Giant City Rd
Carbondale, IL 62902-6418 - Phone
- (618) 300-6017
- Fax
- (618) 300-6084
- NPI assigned
- May 6, 2021
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Tate, MD
- Title
- President
- Phone
- (901) 274-3550
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | NU | ||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Gynecology Physician | 207VG0400X | NU | Primary |
Addresses
Primary practice location
600 N Giant City Rd
Carbondale, IL 62902-6418
Mailing address
1203 Poplar Ave
Memphis, TN 38104-7241
Phone (901) 274-3550
Other practice location 1
1203 Poplar Ave
Memphis, TN 38104-7241
Phone (901) 274-3550
Other names 1
- CHOICES Carbondale Medical Services
National Provider Directory
National Provider DirectoryLocations
600 N Giant City Rd
Carbondale, IL 62902
Phone (618) 300-6017
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Advanced Practice Midwife
- Oakland, CA
- NPI 1235880824
-
- Advanced Practice Midwife
- Memphis, TN
- NPI 1841037579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1255915286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381047241",
"telephone_number": "901-274-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N GIANT CITY RD",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629026418",
"telephone_number": "618-300-6017",
"fax_number": "618-300-6084"
}
],
"practiceLocations": [
{
"address_1": "1203 Poplar Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381047241",
"country_code": "US",
"telephone_number": "901-274-3550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHOICES MEDICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-06",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "TATE",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-274-3550",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHOICES Carbondale Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.