NPIMap

Organization Active NPI

Webster Urgent Care LLC

  • Urgent Care Clinic/Center
  • Mathiston, MS
National Provider Identifier
1689197774
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WEBSTER URGENT CARE LLC
Practice address
24849 Ms Hwy 15
Mathiston, MS 39752
Phone
(662) 634-3089
NPI assigned
Jul 20, 2017
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Misti S Garnett, NPNPI 1023442795
Title
Provider/Owner
Phone
(662) 634-3089

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

24849 Ms Hwy 15
Mathiston, MS 39752

Mailing address

PO Box 190
Mathiston, MS 39752-0190
Phone (662) 634-3089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171031003130 MS Part B Supplier - Clinic/Group Practice 8729354055 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Houston, MS; Mathiston, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

24849 MS Highway 15
Mathiston, MS 39752
Phone (662) 634-3089

Interoperability endpoints

  • Direct secure messaging: websterurgent@wu.azalea.phimailbox.com

Practitioners & affiliated clinicians

Practitioners 9

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": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1689197774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MATHISTON",
            "state": "MS",
            "postal_code": "397520190",
            "telephone_number": "662-634-3089",
            "fax_number": "662-634-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24849 MS HWY 15",
            "city": "MATHISTON",
            "state": "MS",
            "postal_code": "39752",
            "telephone_number": "662-634-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "GARNETT",
        "authorized_official_first_name": "MISTI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "662-634-3089",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mathiston, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.