Active NPI
Total Healthcare Clinic LLC
- Family Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TOTAL HEALTHCARE CLINIC LLC
- Practice address
- 2964 Terry Rd Ste B1
Jackson, MS 39212-3070 - Phone
- (601) 321-9453
- Fax
- (601) 398-4699
- NPI assigned
- Oct 7, 2019
- Last updated
- May 20, 2020
- 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
- Marsha Lynn Austin, NP
- Title
- FNP
- Phone
- (601) 321-9453
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 Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2964 Terry Rd Ste B1
Jackson, MS 39212-3070
Mailing address
2964 Terry Rd Ste B-1
Jackson, MS 39212-3070
Phone (601) 321-9453
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mkaustin45@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
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 |
|---|---|---|---|
| 25D2175640 | Total Healthcare Clinic LLC | Certificate of waiver | Nov 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Nurse Practitioner
- Jackson, MS
- NPI 1851622120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1598306920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2964 TERRY RD STE B-1",
"city": "JACKSON",
"state": "MS",
"postal_code": "392123070",
"telephone_number": "601-321-9453",
"fax_number": "601-398-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2964 TERRY RD STE B1",
"city": "JACKSON",
"state": "MS",
"postal_code": "392123070",
"telephone_number": "601-321-9453",
"fax_number": "601-398-4699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL HEALTHCARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-07",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "MARSHA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "601-321-9453",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mkaustin45@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2964 Terry Rd Ste B1",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392123070",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.