NPIMap

Physicians Urgent Care of Corinth, LLC

Organization Active NPI General Practice Physician · Corinth, MS

NPI 1316059405 · NPPES record last updated Jun 3, 2025

Key facts

NPI
1316059405
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
PHYSICIANS URGENT CARE OF CORINTH, LLC
Practice address
2601 Getwell Rd Ste 1
Corinth, MS 38834-6762
Phone
(662) 287-7138
Fax
(662) 287-7157
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

Name
Mr. Patrick E Tucker, MD NPI 1295749349
Title
President
Phone
(662) 287-7138

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 54

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

View all 54

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100421000688 MS Part B Supplier - Clinic/Group Practice 5991832081 Receives reassigned benefits from 54 practitioners
Practice locations: Booneville, MS; Corinth, MS

National Provider Directory

Locations

2601 S Harper Rd
Ste 1
Corinth, MS 38834

2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

2601 Getwell Rd Ste 1
Corinth, MS 38834-6762

Mailing address

2601 Getwell Rd Ste 1
Corinth, MS 38834-6762
Phone (662) 287-7138

Other practice location 1

1002 N 2nd St
Booneville, MS 38829-1314
Phone (662) 340-4375

Other identifiers

IdentifierTypeStateIssuer
09016155MedicaidMS

Other names

  • Urgent Care of Corinth Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2025.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1316059405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 1",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-287-7138",
            "fax_number": "662-287-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 1",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-287-7138",
            "fax_number": "662-287-7157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388291314",
            "country_code": "US",
            "telephone_number": "662-340-4375",
            "fax_number": "662-340-4378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS URGENT CARE OF CORINTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-287-7138",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016155",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care of Corinth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

All providers in Corinth, MS · General Practice Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.