Maximum Care After Hours Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MAXIMUM CARE AFTER HOURS CLINIC, LLC

Practice address

212 Highway 61
Shaw, MS 38773-3877

Phone

(662) 588-8009

NPI assigned

Nov 20, 2019

Organization subpart

No

Name

Tammarin Collins, FNP-BCNPI 1184129306

Title

Family Nurse Practitioner

Phone

(662) 588-8009

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammarin S Collins, FNP-BC

  • Family Nurse Practitioner
  • Greenwood, MS
  • NPI 1184129306

  MS

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2020.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1669018008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "SHAW",
            "state": "MS",
            "postal_code": "387730026",
            "telephone_number": "662-588-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGHWAY 61",
            "city": "SHAW",
            "state": "MS",
            "postal_code": "387733877",
            "telephone_number": "662-588-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM CARE AFTER HOURS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TAMMARIN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-588-8009",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corissa McClure
• Ronnie Lane Poe, PHARMACIST
• Preservers of Life Hospice
• Clifton Dewayne Reed
• Kimberly Robinson, FNP-C

• All providers in Shaw, MS
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.