Organization Active NPI

Choices Medical Services, PC

Doing business as CHOICES Carbondale Medical Services

  • Gynecology Physician
  • Carbondale, IL
National Provider Identifier
1255915286
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.