Patient First Urgent Care Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10491 Issued in MS

Legal business name

PATIENT FIRST URGENT CARE CLINIC, INC.

Practice address

2524 E Alexander St
Suite a
Greenville, MS 38701-3330

Phone

(662) 335-5773

Fax

(662) 335-5774

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Perry Wallace, MD

Title

President

Phone

(662) 335-5291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1447499512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WATER PLACE",
            "address_2": "SUITE 222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392061",
            "telephone_number": "770-953-4864",
            "fax_number": "770-953-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E ALEXANDER ST",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387013330",
            "telephone_number": "662-335-5773",
            "fax_number": "662-335-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT FIRST URGENT CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-335-5291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "10491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Neal Partrige, CRNA
• Amita N Patel, M.D.
• Anisha Patel, MD
• Heer Sudhirkumar Patel, M.D.
• Ravi V Patel, M.D
• Hernando C Payne, MD
• Shonda Denise Pearl-Winters, FNP-C
• Pec Referral Service Inc.
• Debra Peden, CRNFA
• Pediatric Dental Specialists

• Internal Medicine Physician in Greenville, MS
• Providers in Greenville, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.