Organization Active NPI

Turnaround Care Medical Clinic LLC

  • Primary Care Clinic/Center
  • Tupelo, MS
National Provider Identifier
1699526947
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TURNAROUND CARE MEDICAL CLINIC LLC
Practice address
5357 Cliff Gookin Blvd
Tupelo, MS 38801-7085
Phone
(662) 523-7016
NPI assigned
Mar 27, 2024
Last updated
Feb 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Authorized official

Name
Nicole Sherice Taylor, DNPNPI 1003443458
Title
Doctor of Nursing Practice
Phone
(662) 523-7016

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

5357 Cliff Gookin Blvd
Tupelo, MS 38801-7085

Mailing address

5357 Cliff Gookin Blvd
Tupelo, MS 38801-7085
Phone (662) 523-7016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260505002844 MS Part B Supplier - Clinic/Group Practice 2769950047 Receives reassigned benefits from 1 practitioner
Practice locations: Tupelo, MS

National Provider Directory

National Provider Directory

Locations

5357 Cliff Gookin Blvd
Tupelo, MS 38801
Phone (662) 269-3870

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": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740182400000",
    "number": "1699526947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5357 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017085",
            "telephone_number": "662-523-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5357 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017085",
            "telephone_number": "662-523-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNAROUND CARE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SHERICE",
        "authorized_official_title_or_position": "DOCTOR OF NURSING PRACTICE",
        "authorized_official_telephone_number": "662-523-7016",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 22, 2025; 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.