Organization Active NPI

Physicians Urgent Care of Corinth

Doing business as Urgent Care of Booneville

  • Rural Health Clinic/Center
  • Booneville, MS
National Provider Identifier
1740011907
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PHYSICIANS URGENT CARE OF CORINTH
Doing business as
Urgent Care of Booneville
Practice address
1002 N 2ND St
Booneville, MS 38829-1314
Phone
(662) 340-4375
NPI assigned
Aug 9, 2024
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Laurie Duncan
Title
VP of Revenue
Phone
(678) 332-6122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1002 N 2ND St
Booneville, MS 38829-1314

Mailing address

2601 Getwell Rd Ste 1
Corinth, MS 38834-6762
Phone (678) 332-6122

Other names 1

  • Urgent Care of Booneville Doing business as

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
25D2018118Physicians Urgent Care Booneville1002 North Second Street, Booneville, MS 38829ComplianceSep 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
Physicians Urgent Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375

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": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1740011907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 1",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "678-332-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291314",
            "telephone_number": "662-340-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS URGENT CARE OF CORINTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "VP OF REVENUE",
        "authorized_official_telephone_number": "678-332-6122"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care of Booneville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Booneville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.