Medplus Fulton , LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDPLUS FULTON , LLC

Doing business as

MedPlus Urgent Clinic
Medplus Fulton,LLC

Practice address

407 Interchange Drive
Fulton, MS 38843

Phone

(662) 841-0002

Fax

(662) 269-6346

NPI assigned

Jun 5, 2018

Last updated

Oct 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Logan

Title

Authorized Official

Phone

(662) 841-0002

Specialties & licenses 2

Addresses

Other names 2

• MedPlus Urgent Clinic Doing business as
• Medplus Fulton,LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medplus Urgent Clinic LLC

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1881077501

  O20150825003616

  Same enrollment

Practitioners 6

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.

• Erin Chandler, FNP

  • Family Nurse Practitioner
  • Ackerman, MS
  • NPI 1053902791
  NPD
• Lucinda Dobbs, FNP

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1639824543
  NPD
• Aisha Renea Outlaw, FNP

  • Family Nurse Practitioner
  • Starkville, MS
  • NPI 1174980478
  NPD
• Sheila Taylor, NP

  • Family Nurse Practitioner
  • Iuka, MS
  • NPI 1346080645
  NPD
• Leigh Ann Landy, FNP-C

  • Primary Care Nurse Practitioner
  • Collierville, TN
  • NPI 1386990299
  NPD
• Michael G Turner, O.D.

  • Optometrist
  • Oxford, MS
  • NPI 1023101342
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1285126227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 INTERCHANGE DRIVE",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "38843",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Park Plaza Drive",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523127",
            "country_code": "US",
            "telephone_number": "662-320-7800",
            "fax_number": "662-269-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 HWY 182 W",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397599013",
            "country_code": "US",
            "telephone_number": "662-320-7800",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "874 Barnes Crossing Rd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388040909",
            "country_code": "US",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDPLUS FULTON , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "662-841-0002"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPlus Urgent Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medplus Fulton,LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medplus Fulton,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Joseph Marquis, D.M.D.
• Jerry McBride LLC, O.D.
• Anna McCullough, RD
• Demarea McJunkins
• Kelly C McKay, SPEECH THERAPIST
• Mississippi State Department of Health
• Melissa Moore
• Christi Renee Nanney, R.PH.
• North Mississippi Medical Clinics Inc (Fulton Medical Clinic and Urgent Care)
• Rebecca Claire Northington, C.F.N.P.

• Urgent Care Clinic/Center in Fulton, MS
• Providers in Fulton, MS by specialty
• Urgent Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.