Convenient Care Medical Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CONVENIENT CARE MEDICAL CLINIC LLC

Practice address

2207 5TH St N
Columbus, MS 39705-2211

Phone

(662) 251-3565

NPI assigned

Jun 27, 2015

Last updated

Aug 24, 2022By 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

Teresa Marie Sims, FNP-BCNPI 1124441571

Title

Owner/Manager

Phone

(662) 241-7177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11777/brand/1/csg/1/fhir/r4

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.

• Teresa Marie Sims, FNP-BC

  • Family Nurse Practitioner
  • Columbus, MS
  • NPI 1124441571
  Medicare reassignment NPD Authorized official
• Jalenza McGee, NP

  • Family Nurse Practitioner
  • Columbus, MS
  • NPI 1982250353
  NPD

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1396127221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9051",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397050015",
            "telephone_number": "662-251-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052211",
            "telephone_number": "662-251-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "662-241-7177",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01903235",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Vision Group, PLLC
• Community Counseling Services
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• John Wesley Conn
• Nathan Andrews Connor, DO
• Jennifer Marlow Cook, P-LPC
• Cheryl Cooper, PMHNP
• Melissa Cooper, LCSW
• April Stevenson Corcoran
• Mollie Beard Cornelius, N.P.

• Primary Care Clinic/Center in Columbus, MS
• Providers in Columbus, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.