McMedical Country Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MCMEDICAL COUNTRY CLINIC LLC

Practice address

19441 Highway 82
Carrollton, MS 38917-7079

Phone

(662) 595-4114

Fax

(662) 595-4117

NPI assigned

Jul 23, 2019

Last updated

Feb 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Pamplin

Title

VP, Revenue Cycle MGMT

Phone

(601) 714-1025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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.

• Carol Suzanne McCrimmon, FNP-C

  • Nurse Practitioner
  • Carrollton, MS
  • NPI 1316488729
  Medicare reassignment NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1760035232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19441 HIGHWAY 82",
            "city": "CARROLLTON",
            "state": "MS",
            "postal_code": "389177079",
            "telephone_number": "662-595-4114",
            "fax_number": "662-595-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 HIGHWAY 82",
            "city": "CARROLLTON",
            "state": "MS",
            "postal_code": "389177079",
            "telephone_number": "662-595-4114",
            "fax_number": "662-595-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMEDICAL COUNTRY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "PAMPLIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "601-714-1025"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll County General Dentistry, LLC
• Richard Daniel Hill, DMD BA
• Jearica McBride, NP
• Carol Suzanne McCrimmon, FNP-C
• Mississippi State Department of Health
• Star Care

• Health Service Clinic/Center in Carrollton, MS
• Providers in Carrollton, MS by specialty
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.