NPIMap

Organization Active NPI

Alliance Primary Care Plus

  • Family Nurse Practitioner
  • Pearl, MS
National Provider Identifier
1265055081
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ALLIANCE PRIMARY CARE PLUS
Practice address
209B Riverwind Dr
Pearl, MS 39208-5653
Phone
(601) 595-0401
NPI assigned
May 27, 2020
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Prince S McClinton, NP
Title
NP / Owner
Phone
(601) 595-0401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

209B Riverwind Dr
Pearl, MS 39208-5653

Mailing address

PO Box 13329
Jackson, MS 39236-3329
Phone (601) 595-0401

National Provider Directory

National Provider Directory

Locations

209B Riverwind Dr
Pearl, MS 39208
Phone (601) 595-0401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21435/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1265055081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13329",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392363329",
            "telephone_number": "601-595-0401",
            "fax_number": "601-420-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209B RIVERWIND DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085653",
            "telephone_number": "601-595-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PRIMARY CARE PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "MCCLINTON",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "NP / OWNER",
        "authorized_official_telephone_number": "601-595-0401",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.