NPIMap

Organization Active NPI

Urgent Medical Clinic Inc

Doing business as Prime Urgent Medical Clinic

  • Family Medicine Physician
  • Southaven, MS
National Provider Identifier
1578613188
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15476 Issued in MS
Legal business name
URGENT MEDICAL CLINIC INC
Doing business as
Prime Urgent Medical Clinic
Practice address
176 Goodman Rd W
Southaven, MS 38671-9405
Phone
(662) 536-1020
NPI assigned
Jan 12, 2007
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Dr. Achin Sharma, MD
Title
Physician
Phone
(662) 536-1020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15476 MS Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

176 Goodman Rd W
Southaven, MS 38671-9405

Mailing address

176 Goodman Rd W
Southaven, MS 38671-9405
Phone (662) 536-1020

Other names 1

  • PRIME URGENT MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

3680 S Houston Levee Rd
Collierville, TN 38017
Phone (901) 346-2719

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1578613188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 GOODMAN RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719405",
            "telephone_number": "662-536-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 GOODMAN RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719405",
            "telephone_number": "662-536-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "ACHIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-536-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15476",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME URGENT MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.