Express Care of Cleveland, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EXPRESS CARE OF CLEVELAND, LLC

Practice address

609 N Davis Ave Ste 105
Cleveland, MS 38732-2379

Phone

(662) 579-3958

Fax

(866) 962-6149

NPI assigned

Nov 1, 2018

Last updated

Jun 14, 2023By 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

Gregory Gowen

Title

Manager

Phone

(662) 579-3958

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 30

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.

• Tammy White Burton, FNP

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1063956886
  Medicare reassignment Care Compare group NPD
• Amy Morgan Cain, FNP-C

  • Family Nurse Practitioner
  • Starkville, MS
  • NPI 1689131401
  Medicare reassignment Care Compare group NPD
• Lindsay Claire Edmondson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1457850729
  Medicare reassignment Care Compare group NPD
• Cody Elizabeth Field, FNP-C

  • Family Nurse Practitioner
  • Water Valley, MS
  • NPI 1013489756
  Medicare reassignment Care Compare group NPD
• Philip Myron Howell, FNP

  • Nurse Practitioner
  • Tupelo, MS
  • NPI 1811999667
  Medicare reassignment Care Compare group NPD
• Katie Kerr, FNP

  • Family Nurse Practitioner
  • Booneville, MS
  • NPI 1144800251
  Medicare reassignment Care Compare group NPD
• Kristina Leeann Loprinzi, APRN, NP-C

  • Family Nurse Practitioner
  • Oxford, MS
  • NPI 1336544253
  Medicare reassignment Care Compare group NPD
• Rachel Romero Martin, FNP

  • Family Nurse Practitioner
  • Starkville, MS
  • NPI 1063026086
  Medicare reassignment Care Compare group NPD
• Andrea Lynn McKee, FNP-C

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1336616135
  Medicare reassignment Care Compare group NPD
• Dana Pannell

  • Family Nurse Practitioner
  • Boyle, MS
  • NPI 1750123394
  Medicare reassignment Care Compare group NPD
• Caroline Paige Rice

  • Family Nurse Practitioner
  • Oxford, MS
  • NPI 1285518530
  Medicare reassignment Care Compare group NPD
• Kimberly Dawn Robertson, FNP-C

  • Family Nurse Practitioner
  • Columbus, MS
  • NPI 1124427133
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1780151381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COUNTY ROAD 328",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-816-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N DAVIS AVE STE 105",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322379",
            "telephone_number": "662-579-3958",
            "fax_number": "866-962-6149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3558-A West Main Street",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "38801",
            "country_code": "US",
            "telephone_number": "662-346-8091",
            "fax_number": "662-499-6151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 N 2nd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388291021",
            "country_code": "US",
            "telephone_number": "662-480-4141",
            "fax_number": "662-796-5275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 University Ave",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386554033",
            "country_code": "US",
            "telephone_number": "662-238-0011",
            "fax_number": "662-796-5288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Hwy 12 East",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "39759",
            "country_code": "US",
            "telephone_number": "662-384-8080",
            "fax_number": "662-269-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXPRESS CARE OF CLEVELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "GOWEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-579-3958"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@expresscareclinic.com",
            "affiliation": "N",
            "endpointDescription": "Info",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "609 N Davis Ave Ste 105",
            "city": "Cleveland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387322379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emcare Physician Providers, Inc.
• Meredith M Engle, SLP
• Ranesha Especto, LPC
• Tiffany Evans, RN
• Exceed Physical Therapy of Cleveland, LLC
• Eyedeal Optical Cleveland LLC (EyeDeal Optical)
• Foluso A Fakorede, MD
• Family Home Care Agency
• Family Medical Clinic of Cleveland, LLC
• Rebecca Carter Fisher, CRNA

• Urgent Care Clinic/Center in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Urgent Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.