NPIMap

Organization Active NPI

Family Urgent Care Clinic, PA

  • Family Medicine Physician
  • Saltillo, MS
National Provider Identifier
1689786261
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY URGENT CARE CLINIC, PA
Practice address
1154 Cross Creek Dr
Saltillo, MS 38866-5777
Phone
(662) 840-8010
Fax
(662) 840-2656
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Miss Emerson Wallace, CFNPNPI 1336251560
Title
President
Phone
(662) 840-8010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X C02648 MS

Addresses

Primary practice location

1154 Cross Creek Dr
Saltillo, MS 38866-5777

Mailing address

1154 Cross Creek Dr
Saltillo, MS 38866-5777
Phone (662) 840-8010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689786261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 CROSS CREEK DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388665777",
            "telephone_number": "662-840-8010",
            "fax_number": "662-840-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 CROSS CREEK DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388665777",
            "telephone_number": "662-840-8010",
            "fax_number": "662-840-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY URGENT CARE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "EMERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-840-8010",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "C02648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltillo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.