Active NPI
Main Street Urgent Care & Wellness Clinic LLC
- Family Nurse Practitioner
- Guin, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MAIN STREET URGENT CARE & WELLNESS CLINIC LLC
- Practice address
- 144 US Highway 278
Guin, AL 35563 - Phone
- (205) 269-2448
- NPI assigned
- Jul 2, 2025
- Last updated
- Dec 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly Cooper, NP
- Title
- Member
- Phone
- (205) 269-2448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
144 US Highway 278
Guin, AL 35563
Mailing address
144 US Highway 278
Guin, AL 35563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2330023 | Main Street Urgent Care & Wellness Clinic | Certificate of waiver | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
144 US Highway 278
Guin, AL 35563
Phone (205) 269-2448
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Guin, AL
- NPI 1477011179
-
- Emergency Medicine Physician
- Cullman, AL
- NPI 1689612772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1437048550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 US HIGHWAY 278",
"city": "GUIN",
"state": "AL",
"postal_code": "35563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 US HIGHWAY 278",
"city": "GUIN",
"state": "AL",
"postal_code": "35563",
"telephone_number": "205-269-2448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN STREET URGENT CARE & WELLNESS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-02",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "205-269-2448",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guin, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.