Downtown Family Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DOWNTOWN FAMILY CLINIC

Practice address

137 Public SQ
Batesville, MS 38606-2127

Phone

(662) 563-4641

Fax

(662) 563-4099

NPI assigned

Mar 26, 2024

Last updated

Mar 26, 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

Lauren Camille Gullick, FNPNPI 1538642053

Title

Sole Member/Owner

Phone

(662) 563-4641

Specialties & licenses 1

Addresses

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 5

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.

• Lauren Camille Gullick, FNP

  • Family Nurse Practitioner
  • Batesville, MS
  • NPI 1538642053
  Medicare reassignment NPD Authorized official
• Lacey Ann Gullick-Joiner, CNP

  • Family Nurse Practitioner
  • Batesville, MS
  • NPI 1831524909
  NPD
• William Calvin Haire Jr., D.O.

  • Family Medicine Physician
  • Batesville, MS
  • NPI 1184603805
  NPD
• Caitlyn Flautt Tennyson, FNP

  • Family Nurse Practitioner
  • Batesville, MS
  • NPI 1598341570
  NPD
• Hannah McKay Deloach Griffin, FNP-C

  • Family Nurse Practitioner
  • Batesville, MS
  • NPI 1093638025
  NPD (past)

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1831949379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PUBLIC SQ",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062127",
            "telephone_number": "662-563-4641",
            "fax_number": "662-563-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PUBLIC SQ",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062127",
            "telephone_number": "662-563-4641",
            "fax_number": "662-563-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "GULLICK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "662-563-4641",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Waldrip Devazier, AGPCNP-C
• Dignity & Mercy Adult Day Services
• Diversicare of Batesville, LLC (Diversicare of Batesville)
• Dmed
• Mindy Manning Douglas, CRNA
• Keenya J. Dudley, CCC-SLP
• Elizabeth J Duncan, PMHNP, FNP
• Cedric Edwards, M.D.
• Elizabeth Ferretti Edwards, FNP-C
• Genessa Nicole Egerson, FNP-C

• Clinic/Center in Batesville, MS
• Providers in Batesville, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.