Golden Triangle Urgent Care LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

GOLDEN TRIANGLE URGENT CARE LLC

Practice address

500 Russell St Ste 3
Starkville, MS 39759-5411

Phone

(662) 324-2244

Fax

(662) 334-2295

NPI assigned

Jul 19, 2022

Organization subpart

No

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

Authorized official

Name

Stephanie Hicks

Title

Controller

Phone

(615) 988-2004

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Rural health clinic certification: CCN A53831

Legal name

GOLDEN TRIANGLE URGENT CARE LLC

Doing business as

BAPTIST URGENT CARE - STARKVILLE

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

LLCProprietary

Incorporated

Jun 15, 2012 in MS

Enrollment address

500 Russell St
Ste 3
Starkville, MS 39759-5411

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Golden Triangle Urgent Care LLC

  • Rural Health Clinic/Center
  • Saltillo, MS
  • NPI 1013640713

  7315197498

  Same PAC ID
• Golden Triangle Urgent Care LLC

  • Rural Health Clinic/Center
  • Starkville, MS
  • NPI 1346592045

  7315197498

  Same PAC ID

Tax ID family

Golden Triangle Urgent Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Golden Triangle Urgent Care LLC

  • Rural Health Clinic/Center
  • Saltillo, MS
  • NPI 1013640713
  NPD tax ID

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Golden Triangle Urgent Care LLC

  • Rural Health Clinic/Center
  • Saltillo, MS
  • NPI 1013640713

  Urgent Team Management of Golden Triangle. LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allyson N. Hays, FNP-C

  • Family Nurse Practitioner
  • Starkville, MS
  • NPI 1760216543
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1295460780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-864-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUSSELL ST STE 3",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397595411",
            "telephone_number": "662-324-2244",
            "fax_number": "662-334-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "615-988-2004"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Triangle Planning and Development District
• Golden Triangle Planning and Development District Inc
• Golden Triangle Planning and Development District, Inc
• Golden Triangle Recovery Center, Inc.
• Golden Triangle Rural Family Health Center LLC
• Golden Triangle Urgent Care LLC
• Charity Ruth Gordon, LPC
• Stephanie Jill Gorman, LPC
• Lakita Lajoy Goss
• Foley Davis Graham, FNP

• Rural Health Clinic/Center in Starkville, MS
• Providers in Starkville, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.