Active NPI
Picayune Urgent Care Clinic, LLC
- Urgent Care Clinic/Center
- Picayune, MS
National Provider Identifier
1780723502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PICAYUNE URGENT CARE CLINIC, LLC
- Practice address
- 422 Memorial Blvd
Picayune, MS 39466-5544 - Phone
- (601) 798-2151
- Fax
- (601) 798-2184
- NPI assigned
- Feb 6, 2007
- Last updated
- Sep 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brianne Whitney
- Title
- Coo
- Phone
- (707) 319-5068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
422 Memorial Blvd
Picayune, MS 39466-5544
Mailing address
422 Memorial Blvd
Picayune, MS 39466-5544
Phone (601) 798-2151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09921516 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D1065676 | Picayune Urgent Care Clinic | Certificate of waiver | May 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
801 Highway 11 S
Ste A
Picayune, MS 39466
Phone (601) 798-2151
Practitioners & affiliated clinicians
Practitioners 38
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1780723502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 MEMORIAL BLVD",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394665544",
"telephone_number": "601-798-2151",
"fax_number": "601-798-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 MEMORIAL BLVD",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394665544",
"telephone_number": "601-798-2151",
"fax_number": "601-798-2184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PICAYUNE URGENT CARE CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "WHITNEY",
"authorized_official_first_name": "BRIANNE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "707-319-5068"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09921516",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.