Organization Active NPI

Express Care West, LLC

  • Urgent Care Clinic/Center
  • Tupelo, MS
National Provider Identifier
1679800841
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EXPRESS CARE WEST, LLC
Practice address
1651 N. Coley Rd
Tupelo, MS 38801-6931
Phone
(662) 269-2230
Fax
(662) 205-4562
NPI assigned
Nov 10, 2009
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Joy Hardin Cleveland, FNP-CNPI 1750795886
Title
Owner, NP
Phone
(662) 231-0487

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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

1651 N. Coley Rd
Tupelo, MS 38801-6931

Mailing address

PO Box 353
Belden, MS 38826-0353
Phone (662) 231-0487

Other practice location 1

2885 McCullough Blvd Ste A
Belden, MS 38826-9022
Phone (662) 269-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100208000596 MS Part B Supplier - Clinic/Group Practice 8729121140 Receives reassigned benefits from 1 practitioner
Practice locations: Belden, MS; Tupelo, MS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1107864Express Care West, LLC1651 N Coley Rd, Tupelo, MS 38801ComplianceJun 17, 2028

National Provider Directory

National Provider Directory

Locations

2885 McCullough Blvd
Belden, MS 38826
Phone (662) 269-2230

2885 McCullough Blvd
Ste A
Belden, MS 38826
Phone (662) 269-2230

Practitioners & affiliated clinicians

Practitioners 4

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": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1679800841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388260353",
            "telephone_number": "662-231-0487",
            "fax_number": "662-205-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 N. COLEY RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016931",
            "telephone_number": "662-269-2230",
            "fax_number": "662-205-4562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2885 McCullough Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Belden",
            "state": "MS",
            "postal_code": "388269022",
            "country_code": "US",
            "telephone_number": "662-269-2230",
            "fax_number": "662-205-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXPRESS CARE WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2024-08-08",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "HARDIN",
        "authorized_official_title_or_position": "OWNER, NP",
        "authorized_official_telephone_number": "662-231-0487",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.