Urgent Team Management of Greenwood, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

URGENT TEAM MANAGEMENT OF GREENWOOD, LLC

Practice address

705 W Park Ave
Greenwood, MS 38930-2909

Phone

(615) 988-2014

Fax

(615) 301-6550

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Wanda Thompson

Title

Credentialing MGR

Phone

(615) 988-2014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1679900344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "SUITE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156140",
            "telephone_number": "615-988-2014",
            "fax_number": "615-301-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W PARK AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302909",
            "telephone_number": "615-988-2014",
            "fax_number": "615-301-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT TEAM MANAGEMENT OF GREENWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "615-988-2014"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Triplett, CMHT
• Laura A. Truitt, NP
• Lachandra Tubwell
• Sheryl Anne Turner, RNP
• Syrophenia Udomah, D.C.
• Mary Gregg Vance
• Wal-Mart Stores East LP
• Walgreen Co
• Anthony Walker
• Courtney Walker, PHARMD

• Primary Care Clinic/Center in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.