Priority Medical Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R865733 Issued in MS

Legal business name

PRIORITY MEDICAL CLINIC, LLC

Practice address

601 N 15TH Ave
Laurel, MS 39440-3839

Phone

(601) 323-1920

Fax

(855) 452-4557

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Lindy N Cochran, F.N.P

Title

Owner

Phone

(601) 651-6362

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11184/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Darius R. McGee, FNP

  • Family Nurse Practitioner
  • Laurel, MS
  • NPI 1619004744
  Medicare reassignment NPD
• Elizabeth Cori Walters, FNP- C

  • Family Nurse Practitioner
  • Laurel, MS
  • NPI 1568117463
  Medicare reassignment NPD
• Angela Rachelle Freeman, FNP

  • Family Nurse Practitioner
  • Laurel, MS
  • NPI 1265015218
  NPD (past)
• Herbert Graham Rogers, M.D.

  • Internal Medicine Physician
  • Laurel, MS
  • NPI 1720092331
  NPD (past)
• Kimberly Cabe, FNP

  • Nurse Practitioner
  • Clarkston, MI
  • NPI 1174829733
  NPD (past)

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1669805297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403839",
            "telephone_number": "601-651-6362",
            "fax_number": "855-452-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403839",
            "telephone_number": "601-323-1920",
            "fax_number": "855-452-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "LINDY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-651-6362",
        "authorized_official_credential": "F.N.P"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan J Polhemus, MD
• Viloice Posey, CMHT
• Talonda Powe, LPN
• Premier Homemaker Services LLC
• Delane Pressly, NP
• Priority Medical Supply Inc (Pmsi)
• Charles Erickson Probst, D.O.
• Devona Pugh
• Abdul Khalid Qadree, MD
• Quad Intermed Company LLC

• Family Nurse Practitioner in Laurel, MS
• Providers in Laurel, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.

Verify at the official NPI Registry.